Individual
HSAREH POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 RUNNING BROOK DR, GREENSBORO, NC 27408-2825
(724) 328-1931
Mailing address
2301 RUNNING BROOK DR, GREENSBORO, NC 27408-2825
(724) 328-1931
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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