Individual
MS. JUSTINA ANN CONYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 W LIBERTY ST STE B, SUMTER, SC 29150-4745
(803) 757-1744
Mailing address
925 MILLER RD APT E8, SUMTER, SC 29150-2748
(803) 757-9454
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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