Individual
ASHLEY ROCHELLE PHIFER-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 LONG CREEK RD, BESSEMER CITY, NC 28016-9627
(336) 504-8680
Mailing address
5000 HAYSTACK HILL RD, WINSTON SALEM, NC 27106-4200
(336) 504-8680
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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