Individual
PROFFITT CHANTAE GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112-3300
(804) 744-1114
Mailing address
3825 YARD ARM DR, CHESTER, VA 23831-7368
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
VA
Other
Enumeration date
09/10/2021
Last updated
12/09/2021
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