Individual
MARIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
113 LAUREL AVE, DARLINGTON, SC 29532-2215
(843) 230-3039
(855) 449-7556
Mailing address
113 LAUREL AVE, DARLINGTON, SC 29532-2215
(843) 230-3039
(855) 449-7556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
196092
SC
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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