Individual
ELIJAH M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(800) 434-8923
Mailing address
PO BOX 127, FREEPORT, ME 04032-0127
(207) 415-9782
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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