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1477263044
LATISHA J BROOMFIELD
CHARLOTTE, NC
NPI
1477263044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 123456789)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
Ms. LATISHA J BROOMFIELD
769 N WENDOVER RD
CHARLOTTE, NC 28211-1118
Phone number: 704-376-7180
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Mailing Address
Ms. LATISHA J BROOMFIELD
769 N WENDOVER RD
CHARLOTTE, NC 28211-1118
Phone number: 704-376-7180
Copy
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