Individual
KYRA HOPE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 460-2605
Mailing address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-397291
SC
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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