Individual
TAMIRA BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 PECAN TREE LN, FORT MILL, SC 29715-7011
(855) 832-6727
Mailing address
1944 HOLLYBROOK LN, LANCASTER, SC 29720-0133
(860) 315-4525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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