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1730960741
KATRINA RENEE BRYANT
CHARLOTTE, NC
NPI
1730960741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
Ms. KATRINA RENEE BRYANT MS, LCAS
5017 ELIZABETH RD
CHARLOTTE, NC 28269-4534
Phone number: 704-325-8336
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Mailing Address
Ms. KATRINA RENEE BRYANT MS, LCAS
1213 W MOREHEAD ST FL 5
CHARLOTTE, NC 28208-5576
Phone number: 704-325-8336
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