Individual
DEIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 DUNN COMMONS PKWY APT 301, CHARLOTTE, NC 28216-6787
(704) 977-3627
Mailing address
3415 DUNN COMMONS PKWY APT 301, CHARLOTTE, NC 28216-6787
(704) 977-3627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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