Individual
OMARI MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 W WADE HAMPTON BLVD, GREER, SC 29650-1120
(704) 640-6647
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(185) 583-2672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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