Individual
DELIA MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 ARCHDALE DR, CHARLOTTE, NC 28217-4212
(631) 662-3111
Mailing address
446 SUGAR MAPLE DR, TEGA CAY, SC 29708-6423
(631) 662-3111
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35245
AZ
Other
Enumeration date
06/27/2019
Last updated
03/21/2024
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