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Individual

ALAJHA MEDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
916 COX RD STE 201, GASTONIA, NC 28054-3496
(704) 780-4271
Mailing address
916 COX RD STE 201, GASTONIA, NC 28054-3496
(704) 780-4271

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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