DOMINIQUE KELLY

CHARLOTTE, NC
NPI1790247658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
DOMINIQUE KELLY
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-461-3037
Mailing Address
DOMINIQUE KELLY
7311 BOWSPRIT CT
WENDELL, NC 27591-7278
Phone number: 919-633-0718