Individual
SUZANNA THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 OLIVER CT STE 105, BLUFFTON, SC 29910-8708
(912) 677-4292
Mailing address
31 PINE VIEW DR, BLUFFTON, SC 29910-6807
(912) 677-4292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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