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Organization
KIDS GARDEN
Active
Organization
KIDS GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVETRICE RALEY (MANAGER)
(704) 941-4207
Entity
Organization
Contact information
Practice address
1949 N SHARON AMITY RD, CHARLOTTE, NC 28205-7921
(704) 526-0793
Mailing address
1949 N SHARON AMITY RD, CHARLOTTE, NC 28205-7921
(704) 941-4207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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