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Individual

THOMAS CARIVEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
720 SAINT JAMES DR, WILMINGTON, NC 28403-2937
(910) 660-8200
(910) 660-8199
Mailing address
720 SAINT JAMES DR, WILMINGTON, NC 28403-2937

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-21039
NC
103T00000X
Psychologist
Primary
5215
NC

Other

Enumeration date
10/12/2017
Last updated
03/29/2018
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