Individual
ASHLEY DUNSTON CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ITFS
Contact information
Practice address
10704 DEBMOOR PL, RALEIGH, NC 27614-7018
(919) 478-9974
Mailing address
PO BOX 97051, RALEIGH, NC 27624-7051
(919) 478-9974
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300082K
—
NC
Enumeration date
08/17/2009
Last updated
08/02/2021
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