Individual
MS. PORTIA M MILLER-OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(704) 780-4271
Mailing address
9006 BOURCHIER PL APT 207, CHARLOTTE, NC 28262-0161
(704) 241-4581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NA
NC
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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