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1265919047
SOPHIA ROGERS BACON
CHARLOTTE, NC
NPI
1265919047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC 18-61283)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
SOPHIA ROGERS BACON
716 MARSH RD
CHARLOTTE, NC 28209-1851
Phone number: 650-353-8375
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Mailing Address
SOPHIA ROGERS BACON
716 MARSH RD
CHARLOTTE, NC 28209-1851
Phone number: 650-353-8375
Copy
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