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1528474509
KHYSHA LE WISE
CHARLOTTE, NC
NPI
1528474509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2684)
Enumeration Date
2014-07-10
Last Update Date
2019-04-17
Business Address
KHYSHA LE WISE CSAC
3815 N TRYON ST
CHARLOTTE, NC 28206-2060
Phone number: 704-372-8809
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Mailing Address
KHYSHA LE WISE CSAC
3815 N TRYON ST
CHARLOTTE, NC 28206-2060
Phone number: 704-372-8809
Copy
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