Individual
CHARLOTTE GREGORY-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBRS TEACHER
Contact information
Practice address
402 PLANTATION PL, GOLDSBORO, NC 27534-8262
(919) 738-7682
Mailing address
402 PLANTATION PL, GOLDSBORO, NC 27534-8262
(919) 738-7682
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300160
—
NC
Enumeration date
09/04/2007
Last updated
09/05/2007
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