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1114753753
KAYLA WALLACE
CHARLOTTE, NC
NPI
1114753753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC 1171325)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
KAYLA WALLACE
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202-0213
Phone number: 855-832-6727
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Mailing Address
KAYLA WALLACE
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number:
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