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Individual

EBONY HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMMT

Contact information

Practice address
11121 CARMEL COMMONS BLVD STE 17, CHARLOTTE, NC 28226-4495
(704) 412-8371
Mailing address
9701 COMMONS EAST DR APT L, CHARLOTTE, NC 28277-0443
(704) 412-8371

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12286
NC

Other

Enumeration date
08/21/2017
Last updated
08/21/2017
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