Individual
SARAH MARIE GREMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 67TH AVE N APT 2, MYRTLE BEACH, SC 29572-3726
(843) 421-8114
Mailing address
605 67TH AVE N APT 2, MYRTLE BEACH, SC 29572-3726
(843) 421-8114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-169227
SC
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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