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1689494841
JAVONTAE BRADLEY
CHARLOTTE, NC
NPI
1689494841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A20178)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
JAVONTAE BRADLEY
4108 PARK RD STE 410
CHARLOTTE, NC 28209-2262
Phone number: 980-949-8990
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Mailing Address
JAVONTAE BRADLEY
7730 CALHOUN ST APT 206
CHARLOTTE, NC 28216-7037
Phone number:
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