Individual
JESSICA PARDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 PROFESSIONAL VILLAGE CIR, LADYS ISLAND, SC 29907-1575
(843) 371-1602
Mailing address
2580 LIN DO CT, SUMTER, SC 29150-1832
(803) 905-4427
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-46209
SC
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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