Laniece Leach-ajavon

NPI 1790164192 - Counselor - 101Y00000X

NPI Details
NPI 1790164192
Gender Female
Enumeration Date 05/19/2015
Last Updated 05/19/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
6122 LONG PINE DR
CHARLOTTE NC, 28227-2472, US
Phone (843) 274-9166
Fax
Business Location
6122 LONG PINE DR
CHARLOTTE NC, 28227-2472, US
Phone (843) 274-9166
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1790164192 NPI Number
 

According to our database, Laniece Leach-ajavon NPI is 1790164192, taxonomy code is 101Y00000X Laniece Leach-ajavon physically located at 6122 Long Pine Dr, Charlotte NC, 28227-2472. NPI Number Laniece Leach-ajavon has the Individual type.

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1790164192 NPI number is provided on an as is basis without warranty of any kind. 1790164192 is maintained by the National Plan & Provider Enumeration System. The contents of Laniece Leach-ajavon are for informational purposes only.