Individual
CONNIE PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MILLER RD, MAULDIN, SC 29662
(864) 752-5082
Mailing address
203 ADIRONDACK WAY, SIMPSONVILLE, SC 29681
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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