Individual
KELLY COLLEEN GUARENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8509 CROWN CRESCENT CT, CHARLOTTE, NC 28227-7733
(706) 842-5330
(706) 842-5340
Mailing address
PO BOX 2567, AUGUSTA, GA 30903-2567
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48128
NC
Other
Enumeration date
01/15/2019
Last updated
01/23/2024
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