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Individual

MRS. CATHERINE DIANNA MEARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
705 S KERR AVE, WILMINGTON, NC 28403-8425
(910) 782-3499
Mailing address
2107 RHODES AVE, WILMINGTON, NC 28405-2735
(910) 616-8453

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/12/2017
Last updated
11/12/2017
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