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Individual

ALISHA ANN ELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(704) 461-3036
Mailing address
100 BELMONT MOUNT HOLLY RD, BELMONT, NC 28012-1802
(704) 461-6700

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/25/2019
Last updated
02/25/2019
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