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1184018293
KEISHA MARTIN
CHARLOTTE, NC
NPI
1184018293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A11498)
Enumeration Date
2015-03-26
Last Update Date
2015-03-26
Business Address
-- KEISHA MARTIN
1931 J N PEASE PL SUITE 202
CHARLOTTE, NC 28262-4544
Phone number: 704-258-1611
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Mailing Address
-- KEISHA MARTIN
11000 GREENHEAD VIEW RD
CHARLOTTE, NC 28262-1669
Phone number:
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