Individual
CRADASHA FATIMA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11330 VANSTORY DR STE 114F, HUNTERSVILLE, NC 28078-8146
(047) 944-3957
Mailing address
11330 VANSTORY DR STE 114F, HUNTERSVILLE, NC 28078-8146
(704) 794-4395
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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