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Season Of Change, Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
SEASON OF CHANGE, PLLC15387677852020-10-10
Entity TypeOrganization
Provider OrganizationSEASON OF CHANGE, PLLC
Practice Office Address933 LOUISE AVE # 407
CHARLOTTE, NC US
Practice Office Telephone7708957590
Mailing Address933 LOUISE AVE # 407
CHARLOTTE, NC 282042147 US
Business Telephone7708957580
Authorized OfficialAISHAH WHITEHEAD, OWNER/ LEAD THE
7708957580
HPT Codes
CodeLicense NoState
261QM0801X
1041C0700X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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