Individual
AWNAH MARIA MAZYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 LEE ANN DR NE, CONCORD, NC 28025-2957
(615) 560-6622
Mailing address
990 LEE ANN DR NE, CONCORD, NC 28025-2957
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1200193
SC
Other
Enumeration date
04/16/2025
Last updated
04/20/2026
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