Individual
MRS. GINA MARIE CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 BATTERY PARK DR, FLORENCE, SC 29506-8549
(184) 326-0990
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB381814
SC
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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