Individual
MS. ILENE BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 CAPE BRETON DR APT 104, RALEIGH, NC 27616-4529
(919) 539-8209
Mailing address
5001 CAPE BRETON DR APT 104, RALEIGH, NC 27616-4529
(919) 539-8209
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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