Individual
MISS ELIZA STANTON POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15501 WESTON PKWY, CARY, NC 27513-8636
(818) 241-6780
Mailing address
5312 SERENE FOREST DR, APEX, NC 27539-4128
(919) 621-6343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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