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1447774823
LAKIESHA JOHNSON SQUIREWELL
CHARLOTTE, NC
NPI
1447774823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5009714)
Enumeration Date
2017-07-27
Last Update Date
2017-07-28
Business Address
LAKIESHA JOHNSON SQUIREWELL PMHNP
10130 PERIMETER PKWY STE 200
CHARLOTTE, NC 28216-0197
Phone number: 704-948-3536
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Mailing Address
LAKIESHA JOHNSON SQUIREWELL PMHNP
10130 PERIMETER PARKWAY STE 200
CHARLOTTE, NC 28216
Phone number: 888-849-7379
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