Individual
GRACE MERIWETHER GERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 ARGENT BLVD, RIDGELAND, SC 29936-3266
(978) 857-5121
Mailing address
3319 ARGENT BLVD, RIDGELAND, SC 29936-3266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-422930
SC
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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