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Individual

ALEXIS ROSE MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1708 AUGUSTA ST STE C-226, GREENVILLE, SC 29605-6513
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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