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Organization

PEACE POWER & PURPOSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEONNA SYMONE TEASLEY (CO-FOUNDER)
(704) 264-7769
Entity
Organization

Contact information

Practice address
10709 GLENLUCE AVE, CHARLOTTE, NC 28213-4239
(704) 264-7769
Mailing address
10709 GLENLUCE AVE, CHARLOTTE, NC 28213-4239
(704) 264-7769

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NC
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
10/20/2017
Last updated
02/24/2018
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