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1649002668
MITCHELL REED PREVATTE
WINSTON SALEM, NC
NPI
1649002668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A20442)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
Mr. MITCHELL REED PREVATTE
936 W 4TH ST STE 204
WINSTON SALEM, NC 27101-2564
Phone number: 336-442-6461
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Mailing Address
Mr. MITCHELL REED PREVATTE
806 GRANVILLE DR
WINSTON SALEM, NC 27101-5708
Phone number: 336-442-6461
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