Individual
JESSICA FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 WHIPPLE RD, MOUNT PLEASANT, SC 29464-9726
(843) 884-7144
Mailing address
838 W MADISON AVE, CHARLESTON, SC 29412-3529
(732) 670-6828
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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