Individual
MISS NICOLE ANNE SCALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229
(803) 999-3752
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(844) 359-7629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
03/13/2019
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