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Individual

MS. ANNE MICHELLE GOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 402-1060
Mailing address
5145 RIVER BEND RD, CLAREMONT, NC 28610-8129
(828) 502-9896

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
37684046
NC
106S00000X
Behavior Technician

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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