Individual
EMALIE GENE GELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 KINGDOM WAY, RALEIGH, NC 27607-6062
(919) 390-7238
Mailing address
68 SANPATRICE CT, SMITHFIELD, NC 27577-9543
(262) 388-3648
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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