Individual
DESTINY MICHELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2161 BARHAMVILLE RD, COLUMBIA, SC 29204-1121
(803) 261-6755
Mailing address
2161 BARHAMVILLE RD, COLUMBIA, SC 29204-1121
(803) 261-6755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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