Individual
VANESSA J POUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 EDEN TER APT 203, ROCK HILL, SC 29730-3743
(302) 345-8480
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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