Individual
BROOKS STALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 WILD CAT RD, WILLIAMSTON, NC 27892-7169
(252) 809-3406
Mailing address
4050 WILD CAT RD, WILLIAMSTON, NC 27892-7169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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