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Individual

GWENDOLEN SEAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
172 WINDING ROCK RD, GOOSE CREEK, SC 29445-7205
(843) 499-9229
Mailing address
172 WINDING ROCK RD, GOOSE CREEK, SC 29445-7205

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-254000
SC

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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