Individual
MARISSA NICOLE MAKWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 IVY TRAIL WAY, FORT MILL, SC 29715-5923
(803) 280-5495
Mailing address
751 IVY TRAIL WAY, FORT MILL, SC 29715-5923
(803) 280-5495
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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