Organization
DYNMAIK LEARNING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA NICOLE LUCAS (CHIEF INNOVATOR)
(252) 497-3661
Entity
Organization
Contact information
Practice address
209 NE MAIN ST, ROCKY MOUNT, NC 27801-5301
(252) 497-3661
Mailing address
209 NE MAIN ST, ROCKY MOUNT, NC 27801-5301
(252) 497-3661
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/29/2017
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