Individual
LAUREN MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 RED BANK RD, GOOSE CREEK, SC 29445-4502
(843) 628-2935
Mailing address
5221 OLD WASHINGTON CRSE, HOLLYWOOD, SC 29449-5878
(843) 718-4358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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