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Individual

ANNESSA COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
375 SE BROAD ST STE A, SOUTHERN PINES, NC 28387-6000
(910) 725-0702
(910) 246-1601
Mailing address
375 SE BROAD ST STE A, SOUTHERN PINES, NC 28387-6000
(910) 725-0702
(910) 246-1601

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-317968
SC

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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