Individual
KATIE GEDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 FRED NASH BLVD, MYRTLE BEACH, SC 29577-6768
(843) 855-6210
Mailing address
801 BURCALE RD APT M4, MYRTLE BEACH, SC 29579-8312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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