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Individual

SANDRA JOHNSON MCRAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
1110 MAPLE ST, GOLDSBORO, NC 27530-2917
(919) 221-4172

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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