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1134711955
STASIA MADDOX
SPRING LAKE, NC
NPI
1134711955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
STASIA MADDOX
1018 N BRAGG BLVD
SPRING LAKE, NC 28390-3316
Phone number: 910-295-2609
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Mailing Address
STASIA MADDOX
4271 HIGH STAKES CIR APT 104
PARKTON, NC 28371-9097
Phone number: 910-705-0078
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