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Individual

STEPHANIE MARIE VERGARA-MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1944 WELLNESS BLVD,, MONROE, NC 28110
(980) 785-1113
(980) 785-1114
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 785-1114

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78307
WA
2355S0801X
Speech-Language Assistant
40915
TX

Other

Enumeration date
07/29/2019
Last updated
02/07/2025
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