Individual
ISABELLE CARSON DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(919) 743-0204
Mailing address
212 S 5TH ST, SANFORD, NC 27330-4432
(919) 323-1501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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