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1376895359
MALISHA LULAIDA ROSS
CHARLOTTE, NC
NPI
1376895359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2494-A)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
-- MALISHA LULAIDA ROSS LCAS-A
5212 GRASS RIDGE DR
CHARLOTTE, NC 28216-2970
Phone number: 704-430-4250
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Mailing Address
-- MALISHA LULAIDA ROSS LCAS-A
5212 GRASS RIDGE DR
CHARLOTTE, NC 28216-2970
Phone number: 704-430-4250
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