Individual
DONTRAY LEWTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 HOLLOMAN AVE E, AHOSKIE, NC 27910-2314
(252) 209-0489
Mailing address
415 HOLLOMAN AVE E, AHOSKIE, NC 27910-2314
(252) 209-0489
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
81-4002694
NC
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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