Individual
LUENETTA ANNETTE GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(954) 603-7885
Mailing address
100 FAIRFOREST RD APT G3, COLUMBIA, SC 29212-2322
(843) 368-7056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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