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1194460022
EMMA ROSE BRAISTED
CHARLOTTE, NC
NPI
1194460022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A17345)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
EMMA ROSE BRAISTED LCMHC-A
700 EAST BLVD STE 1
CHARLOTTE, NC 28203-5156
Phone number: 704-980-3082
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Mailing Address
EMMA ROSE BRAISTED LCMHC-A
700 EAST BLVD STE 1
CHARLOTTE, NC 28203-5156
Phone number: 704-980-3082
Copy
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