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Organization

ALL ABOUT ME AND MY FAMILY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELAINE ANN MALLETTE BS (INFANT, TODDLER, FAMILY SPECILIST)
(910) 459-9451
Entity
Organization

Contact information

Practice address
1413 DAVIS ST, JACKSONVILLE, NC 28540-5104
(910) 459-9451
(910) 333-1975
Mailing address
1413 DAVIS ST, JACKSONVILLE, NC 28540-5104
(910) 459-9451
(910) 333-1975

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/06/2023
Last updated
07/06/2023
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