Individual
SHABAZZ JAMA CHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 ELSWORTH CT, MC LEANSVILLE, NC 27301-9308
(336) 512-3381
Mailing address
7 ELSWORTH CT, MC LEANSVILLE, NC 27301-9308
(336) 512-3381
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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