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Individual

ALISON RECORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-4999
(704) 824-3999
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-4999
(704) 824-3999

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB512927
NC

Other

Enumeration date
11/13/2019
Last updated
11/13/2019
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