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Individual

AKEVIA CHARLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
418B W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(704) 780-4271
(888) 261-6694
Mailing address
812 CRANE CREEK RD, SALISBURY, NC 28146-9279
(704) 267-4144

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NC

Other

Enumeration date
02/16/2021
Last updated
02/16/2021
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