Individual
AVERY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6805 COONIE CT, WILLOW SPRING, NC 27592-7870
(919) 559-7702
Mailing address
6805 COONIE CT, WILLOW SPRING, NC 27592-7870
(919) 559-7702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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