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1609642461
KASUAL MAXWELL
FAYETTEVILLE, NC
NPI
1609642461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
KASUAL MAXWELL
920 CAMBRIDGE ST
FAYETTEVILLE, NC 28303-5300
Phone number: 910-493-3555
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Mailing Address
KASUAL MAXWELL
920 CAMBRIDGE ST
FAYETTEVILLE, NC 28303-5300
Phone number: 910-493-3555
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