Individual
DENEISHA LEE
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
277 GIBSON DR, RAEFORD, NC 28376-5565
(803) 622-0799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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