Individual
ZAYDA M SWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 FOREST DR STE 3, COLUMBIA, SC 29204-4148
(803) 258-0533
Mailing address
3924 FOREST DR, COLUMBIA, SC 29204-4150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1024102
SC
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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