Individual
MISS ALEXIS B LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1368 PINEY GREEN RD, JACKSONVILLE, NC 28546-4580
(910) 333-8050
Mailing address
301 VILLAGE DR APT 12D, JACKSONVILLE, NC 28546-7748
(605) 650-8698
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290766
NC
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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