DOMINIQUE C SOUTHERS

CHARLOTTE, NC
NPI1225766504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
DOMINIQUE C SOUTHERS
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-780-4271
Mailing Address
DOMINIQUE C SOUTHERS
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-780-4271