Individual
ALICIA JANAE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 PELLING DR, YORK, SC 29745-9801
(985) 778-7556
Mailing address
308 PELLING DR, YORK, SC 29745-9801
(985) 778-7556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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