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Individual

CRYSTAL ANN KEGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Mailing address
PO BOX 1222, SNEADS FERRY, NC 28460-1212
(304) 276-1576

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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