Individual
CHANEL LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
257 GRETAS WAY STE 100, KERNERSVILLE, NC 27284-3811
(704) 780-4271
Mailing address
257 GRETAS WAY STE 100, KERNERSVILLE, NC 27284-3811
(704) 780-4271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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