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Individual

GEMMA KATE BRODNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
8374 SIX FORKS RD STE 101, RALEIGH, NC 27615-5096
(919) 651-8401
Mailing address
8374 SIX FORKS RD STE 101, RALEIGH, NC 27615-5096

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-21004

Other

Enumeration date
11/02/2017
Last updated
11/02/2017
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