Individual
CORTNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 CUBBAGE RD, SUMTER, SC 29153-7845
(803) 445-8416
Mailing address
1208 BRADFORD RIDGE LN, COLUMBIA, SC 29223-7150
(803) 445-8416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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