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1770573990
SHAVONDA LATIEA BEAN
CHARLOTTE, NC
NPI
1770573990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NC 2477)
Enumeration Date
2005-10-27
Last Update Date
2013-04-25
Business Address
MRS. SHAVONDA LATIEA BEAN MA, LPA
8430 UNIVERSITY EXEC PARK DR SUITE 655
CHARLOTTE, NC 28262-1350
Phone number: 704-596-5553
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Mailing Address
MRS. SHAVONDA LATIEA BEAN MA, LPA
8430 UNIVERSITY EXEC PARK DR SUITE 655
CHARLOTTE, NC 28262-1350
Phone number: 704-596-5553
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