Individual
MARQUITA BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
930 W ELIZABETH ST, PAGELAND, SC 29728-7478
(843) 672-4561
Mailing address
930 W ELIZABETH ST, PAGELAND, SC 29728-7478
(843) 672-4561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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