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1194443788
DEEDDA RENAE POWELL
CHARLOTTE, NC
NPI
1194443788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC POWE-X2E45)
Enumeration Date
2022-08-18
Last Update Date
2023-06-20
Business Address
Dr. DEEDDA RENAE POWELL DNP-PMHNP
4801 E INDEPENDENCE BLVD STE 1000
CHARLOTTE, NC 28212-5490
Phone number: 704-819-9079
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Mailing Address
Dr. DEEDDA RENAE POWELL DNP-PMHNP
6215 LESLIE DR
CHARLOTTE, NC 28269-2146
Phone number: 704-890-4309
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