Individual
CARLIE MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 HENDERSON DR, JACKSONVILLE, NC 28546-5246
(910) 484-1722
Mailing address
1316 MONTEITH ST, JACKSONVILLE, NC 28540-3495
(423) 415-9415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-413059
NC
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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