Individual
JOLENE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4906 DARBY LN, MYRTLE BEACH, SC 29579-3199
(843) 593-6806
Mailing address
4906 DARBY LN, MYRTLE BEACH, SC 29579-3199
(843) 593-6806
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2018
Last updated
06/16/2018
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