Individual
TIFFANY MCGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 460-2605
Mailing address
1252 PERU RD, SAINT STEPHEN, SC 29479-3248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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