DOMINICKA WHITAKER

CHARLOTTE, NC
NPI1265961619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-23562)
Enumeration Date2017-06-08
Last Update Date2023-03-20
Business Address
DOMINICKA WHITAKER LCAS
12365 BLUESTEM LN.
CHARLOTTE, NC 28277
Phone number: 201-540-6512
Mailing Address
DOMINICKA WHITAKER LCAS
12365 BLUESTEM LN
CHARLOTTE, NC 28277-1700
Phone number: 201-540-6512
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