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Individual

ELLEN MODJESKA MONTEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8202 ARDMORE SPRINGS CIR # 8202, GREENVILLE, SC 29615-2079
(843) 814-8140
Mailing address
8202 ARDMORE SPRINGS CIR # 8202, GREENVILLE, SC 29615-2079
(843) 814-8140

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SC

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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