Individual
KERRIE MARIE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RVT,RBT
Contact information
Practice address
910 E MAIN ST, LINCOLNTON, NC 28092-3449
(704) 748-0616
Mailing address
1611 LARRY DAVIS RD, LAWNDALE, NC 28090-8419
(828) 308-3723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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