Individual
GABRIELLE CLYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 HERLONG AVE S STE 104, ROCK HILL, SC 29732-1091
(803) 504-4861
Mailing address
2148 GREEN PEACH RD, LANCASTER, SC 29720-9176
(803) 577-5513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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