Individual
CORETTA DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 PINE LILLY DR, COLUMBIA, SC 29229-7079
(803) 886-0908
Mailing address
645 PINE LILLY DR, COLUMBIA, SC 29229-7079
(803) 886-0908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/17/2019
Last updated
12/04/2023
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