Individual
CHELSEA RAE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204
(774) 644-6407
Mailing address
903 STACK RD, MONROE, NC 28112-8408
(774) 644-6407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
04/23/2019
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