Individual
PETE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 934-2697
Mailing address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 934-2697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306499
SC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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