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Individual

MISS KATELYN TALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 FAIRFOREST WAY APT 1304, GREENVILLE, SC 29607-4462
(864) 420-2474
Mailing address
301 FAIRFOREST WAY APT 1304, GREENVILLE, SC 29607-4462
(864) 420-2474

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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