Individual
ROBIN LEAH BARDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154A WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 424-1129
Mailing address
154A WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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