Individual
DACEYA MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 COMMERCE AVE STE 6, SOUTHERN PINES, NC 28387-7115
(910) 688-3646
(910) 688-7057
Mailing address
340 COMMERCE AVE STE 6, SOUTHERN PINES, NC 28387-7115
(910) 688-3646
(910) 688-7057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-62087
FL
Other
Enumeration date
09/05/2019
Last updated
02/06/2020
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