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Individual

MR. THADIUS LEONARD BONAPART III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1339 BAXTER ST STE 300, CHARLOTTE, NC 28204-3067
(704) 777-5705
Mailing address
1339 BAXTER ST STE 300, CHARLOTTE, NC 28204-3067
(704) 777-5705

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/25/2009
Last updated
02/25/2009
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