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Individual

HEATHER DAWN WILSON-SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
(888) 849-4249
Mailing address
8105 PENMAN SPRINGS DR, WAXHAW, NC 28173-6962
(954) 415-2772

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/12/2022
Last updated
12/13/2022
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