Individual
CHRISTINA GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113G N MARINE BLVD, JACKSONVILLE, NC 28540-6508
(910) 389-2790
Mailing address
325 BANNERMANS MILL RD, RICHLANDS, NC 28574-8105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291968
NC
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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