Individual
ELISA PHARR GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 881-3760
Mailing address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 881-3760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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