Individual
MRS. MCKENZIE CATHERINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 460-2605
Mailing address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 460-2605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-269617
SC
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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