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1306329024
LATEASHA MCMULLEN
STATESVILLE, NC
NPI
1306329024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-09
Last Update Date
2019-01-08
Business Address
Mrs. LATEASHA MCMULLEN
636 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Phone number: 704-978-1140
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Mailing Address
Mrs. LATEASHA MCMULLEN
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number:
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