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Individual

COLE CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 CASWELL BEACH RD APT 1309, OAK ISLAND, NC 28465-8485
(720) 575-9340
Mailing address
1000 CASWELL BEACH RD APT 1309, OAK ISLAND, NC 28465-8485

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/14/2023
Last updated
08/14/2023
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