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ASHLEY ROCHELLE PHIFER-DAVIS

>> Residential Treatment Facility, Emotionally Disturbed Children >> Residential Treatment Facilities

Registrant NPI Number: 1255082087

Individual Registrant:
 ASHLEY ROCHELLE PHIFER-DAVIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
208 LONG CREEK RD  BESSEMER CITY, NC 28016-9627 US
Tel: 336-504-8680  Fax: --

Contact information for business:
5000 HAYSTACK HILL RD  WINSTON SALEM, NC 27106-4200 US
Tel: 336-504-8680  Fax: --

Registration Information:
NPI: 1255082087
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y322D00000XResidential Treatment Facilities
Residential Treatment Facility, Emotionally Disturbed Children

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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