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1790412765
KEON DEVONTE BREEDEN
CHARLOTTE, NC
NPI
1790412765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016842)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
Mr. KEON DEVONTE BREEDEN LCSWA
933 LOUISE AVE STE 10117
CHARLOTTE, NC 28204-0053
Phone number: 704-226-2282
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Mailing Address
Mr. KEON DEVONTE BREEDEN LCSWA
2021 MORTON ST APT 223
CHARLOTTE, NC 28208-5340
Phone number: 704-386-8651
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