Individual
SCOTT LACLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6748 KEMP ST, CHARLOTTE, NC 28213-5632
(910) 536-6901
Mailing address
6748 KEMP ST, CHARLOTTE, NC 28213-5632
(910) 536-6901
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
61682
NC
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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