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LATESHA GREEN

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1972239127Individual

Specialties, Licenses & Credentials

Clinic/Center — Developmental Disabilities

Code: 261QD1600X

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

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Contact & Hours

Address
3409 DOMINION GREEN DR
CHARLOTTE, NC 28269

Quick Facts

NPI
1972239127
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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