Individual
CEDRICA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7332 LAUREL VALLEY RD, CHARLOTTE, NC 28273-4400
(336) 906-5700
Mailing address
7332 LAUREL VALLEY RD, CHARLOTTE, NC 28273-4400
(336) 906-5700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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