Individual
DOMINIC MCRAE SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 690-2822
Mailing address
1014 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 690-2822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/30/2020
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