Individual
JESSICA WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SUTTON RD, PACOLET, SC 29372-2920
(864) 345-0756
Mailing address
320 SUTTON RD, PACOLET, SC 29372-2920
(864) 345-0756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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