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Individual

ASHLEY WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(610) 451-0456
Mailing address
424 KELLYWOOD CT, FUQUAY VARINA, NC 27526-1866
(610) 451-0456

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NC

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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