Individual
JAILAH MONIQUE WOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3029 FIVE CHOP RD, ORANGEBURG, SC 29115-9680
(803) 937-3400
Mailing address
255 FRESNO CT, ORANGEBURG, SC 29118-9295
(803) 220-7266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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