Individual
RUTHIE BORRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MANHASSET RD, CHARLOTTE, NC 28209-4713
(404) 771-8503
Mailing address
811 MANHASSET RD, CHARLOTTE, NC 28209-4713
(404) 771-8503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A14390
NC
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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