Individual
MR. MICHAEL SCOTT PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSP
Contact information
Practice address
411 W HAMPTON ST, DILLON, SC 29536-3337
(843) 765-4087
(843) 765-4085
Mailing address
431 TWIN PINES RD, WHITEVILLE, NC 28472-4956
(910) 212-8292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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