Individual
KWASI KEMNU AMPONSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 CROWN DR APT 202, FORT MILL, SC 29708-8601
(803) 357-4041
Mailing address
PO BOX 1211, FORT MILL, SC 29716-1211
(803) 357-4041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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