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Individual

ANNO MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6985 NEXUS CT STE 107, FAYETTEVILLE, NC 28304-3186
(910) 493-3999
Mailing address
8613 AMISH DR, FAYETTEVILLE, NC 28314-8429
(910) 670-1298

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206481
NC
106S00000X
Behavior Technician
NC

Other

Enumeration date
11/08/2019
Last updated
03/14/2022
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