Individual
JASMIYA CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 CONSTITUTION PARK BLVD, ROCK HILL, SC 29732-3205
(803) 417-5760
Mailing address
1175 CONSTITUTION PARK BLVD, ROCK HILL, SC 29732-3205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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