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Individual

DEEANNA GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 SUPERIOR DR, SPRING LAKE, NC 28390-3190
(910) 484-1711
Mailing address
2919 BREEZEWOOD AVE, FAYETTEVILLE, NC 28303-5501
(910) 484-1711

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABAT-13029
NC

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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