Individual
CARLIE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E 5TH NORTH ST, SUMMERVILLE, SC 29483-6822
(843) 460-2605
Mailing address
121 SPRING MEADOWS DR, SUMMERVILLE, SC 29485-8792
(843) 925-6746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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