Individual
CHARLENE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1384 LINKHAW RD, LUMBERTON, NC 28358-2520
(910) 258-1240
Mailing address
1384 LINKHAW RD, LUMBERTON, NC 28358-2520
(910) 258-1240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
MHL-078-290
NC
171M00000X
Case Manager/Care Coordinator
Primary
MHL-078-290
NC
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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