Individual
MIRINDA COSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 NC 87, CAMERON, NC 28326
(910) 484-1711
Mailing address
2919 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5283
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-8308
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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