Individual
TIFFANY JUNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(803) 999-3752
Mailing address
3115 SUNSET BLVD, WEST COLUMBIA, SC 29169-3425
(803) 791-3722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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