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Individual

MISS ASHLEY NICOLE SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(704) 559-2069
Mailing address
4310 PARK RD APT 306, CHARLOTTE, NC 28209-0007
(423) 483-7345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/01/2012
Last updated
03/31/2021
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