Individual
FELICIA MACK SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(980) 643-6059
Mailing address
336 RED ROAN PL, CHARLOTTE, NC 28215-1517
(980) 643-6059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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