Individual
GUENIVERE CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 TURNING LEAF CIR, BARNWELL, SC 29812-6390
(509) 936-2125
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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