Individual
MR. DANIEL HENRY SECREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 BRANCHVIEW DR NE STE 200, CONCORD, NC 28025-2226
(800) 434-8923
Mailing address
212 OAKSBURG DR, WINSTON SALEM, NC 27107-7709
(336) 745-0758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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