Individual
MARY MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 OLD FORGE RD, CHAPIN, SC 29036-9753
(919) 805-2098
(866) 568-8043
Mailing address
418 OLD FORGE RD, CHAPIN, SC 29036-9753
(919) 805-2098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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