Individual
MARINA HAMMOND MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ASSISTANT
Contact information
Practice address
1230 PENDLETON ST APT 14E, COLUMBIA, SC 29201-3737
(843) 870-0129
Mailing address
1230 PENDLETON ST APT 14E, COLUMBIA, SC 29201-3737
(843) 870-0129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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