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1811539786
JESSEYETTA LAVETTA STATON
CHARLOTTE, NC
NPI
1811539786
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Former Name
JESSEYETTA LAVETTA CRAWFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014185)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
Mrs. JESSEYETTA LAVETTA STATON LCSWA
2015 AYRSLEY TOWN BLVD STE 202
CHARLOTTE, NC 28273-4068
Phone number: 888-547-9905
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Mailing Address
Mrs. JESSEYETTA LAVETTA STATON LCSWA
7110 LOWEN RD
CHARLOTTE, NC 28269-0194
Phone number: 704-615-4183
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