Individual
MAMADOU S SOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 NORTHGATE VLG, BURLINGTON, NJ 08016-4004
(718) 314-6027
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-373445
NJ
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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