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Individual

GIADA SONNY MCRAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 BALDWIN AVE, CHARLOTTE, NC 28204-3364
(980) 423-1210
Mailing address
2675 COURT DR # B, GASTONIA, NC 28054-1478
(704) 824-4999

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/15/2025
Last updated
03/15/2025
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