Individual
JA-KARRA ENYCIA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9321 WINDSOR LAKE BLVD, COLUMBIA, SC 29223-1926
(857) 274-4474
Mailing address
9321 WINDSOR LAKE BLVD, COLUMBIA, SC 29223-1926
(857) 274-4474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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