Individual
KENDALL ROSE WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 ANGELICA LN, FORT MILL, SC 29708-8803
(803) 902-5943
Mailing address
935 ANGELICA LN, FORT MILL, SC 29708-8803
(434) 284-0804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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