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1912728270
DIASHANNA YVETTE LOGAN
CHARLOTTE, NC
NPI
1912728270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A20359)
Enumeration Date
2024-10-21
Last Update Date
2024-12-01
Business Address
DIASHANNA YVETTE LOGAN
537 W SUGAR CREEK RD STE 203
CHARLOTTE, NC 28213-6102
Phone number: 980-875-9473
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Mailing Address
DIASHANNA YVETTE LOGAN
537 W SUGAR CREEK RD STE 203
CHARLOTTE, NC 28213-6102
Phone number: 980-875-9473
Copy
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