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Individual

YOLANDA DEONNE ECTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5605 COUNTRY CLUB RD, GREENSBORO, NC 27406
(919) 208-0434
Mailing address
5605 COUNTRY CLUB RD, GREENSBORO, NC 27406-9567
(919) 208-0434

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
12/18/2015
Last updated
06/01/2018
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