Individual
LETITIA MOUZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 EXECUTIVE CENTER DR, SUITE 238, CHARLOTTE, NC 28212-8866
(980) 613-8312
(888) 972-4998
Mailing address
4644 MEADOWFIELD RD, CHARLOTTE, NC 28215-7809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P010404
NC
1041C0700X
Clinical Social Worker
P010404
NC
Other
Enumeration date
05/19/2016
Last updated
02/09/2017
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