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Individual

MRS. CAROLYNN SHANIQUE SOLANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.O.T.

Contact information

Practice address
9597 INDIAN BEECH AVE NW, CONCORD, NC 28027-3573
(973) 896-4332
Mailing address
9597 INDIAN BEECH AVE NW, CONCORD, NC 28027-3573
(973) 896-4332

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
NC
225X00000X
Occupational Therapist
Primary
7113
NC
251S00000X
Community/Behavioral Health Agency
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7302158
NC
Enumeration date
05/16/2007
Last updated
11/07/2013
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