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1265961619
DOMINICKA WHITAKER
CHARLOTTE, NC
NPI
1265961619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-23562)
Enumeration Date
2017-06-08
Last Update Date
2023-03-20
Business Address
DOMINICKA WHITAKER LCAS
12365 BLUESTEM LN.
CHARLOTTE, NC 28277
Phone number: 201-540-6512
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Mailing Address
DOMINICKA WHITAKER LCAS
12365 BLUESTEM LN
CHARLOTTE, NC 28277-1700
Phone number: 201-540-6512
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