Individual
ANNIE L SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 KEATON AVE APT I, CHARLOTTE, NC 28269-6741
(704) 634-2665
Mailing address
2419 KEATON AVE APT I, CHARLOTTE, NC 28269-6741
(704) 634-2665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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