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Individual

MS. MICHAL LEVINE MCDONOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
515 LAMAR AVE, CHARLOTTE, NC 28204-2335
(704) 517-9866
(704) 376-8677
Mailing address
515 LAMAR AVE, CHARLOTTE, NC 28204-2335
(704) 517-9866
(704) 376-8677

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
969
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102234
NC
Enumeration date
01/16/2007
Last updated
07/09/2007
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