Provider Information for 1376968933
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YOVANI SABET AYALA LCSW
Sex: Female
NPI: 1376968933
Last Updated: 2022-02-21
Certification Date: 2022-02-21
Certification Date: 2022-02-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376968933 | ||||||||
| Enumeration Date | 2014-02-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5118 HAYBRIDGE RD CHARLOTTE, NC 28269-0114 United States Phone: 980-220-2066 | Fax:704-384-1977 | ||||||||
| Primary Practice Address | 5118 HAYBRIDGE RD CHARLOTTE, NC 28269-0114 United States Phone: 980-318-9200 | Fax:980-202-4643 | ||||||||
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