Individual
MARCUS BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 W HAMPTON ST, DILLON, SC 29536-3337
(843) 765-4087
(843) 765-4085
Mailing address
110 S CENTER ST, MOUNT OLIVE, NC 28365-2124
(919) 635-3344
(919) 635-3388
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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