Individual
SAMANTHA GRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3242 COMMONWEALTH AVE, CHARLOTTE, NC 28205-6225
(704) 330-5942
Mailing address
615 N PINE ST, CHARLOTTE, NC 28202-1723
(812) 212-8672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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