Individual
WEI NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 EAST AUGUSTA STREET, MCCORMICK, SC 29835
(803) 387-7277
Mailing address
301 WHIPPOORWILL RD, ORANGEBURG, SC 29118-1626
(803) 387-7727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
12/05/2024
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