CARRELL OCTAVIA FREDERICK

CHARLOTTE, NC
NPI1780046565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NC  A12060)
Additional Taxonomies101YS0200X Counselor, School
(Licence: NC  1175143)
Enumeration Date2016-03-22
Last Update Date2016-03-22
Business Address
Miss CARRELL OCTAVIA FREDERICK
3325 WYMERING RD
CHARLOTTE, NC 28213-4891
Phone number: 704-962-5415
Mailing Address
Miss CARRELL OCTAVIA FREDERICK
9700 RESEARCH DR STE 103
CHARLOTTE, NC 28262-8552
Phone number: 704-962-5415