Individual
TAYLOR MACKENZIE GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
Mailing address
2439 REDMAYNE LN, INDIAN LAND, SC 29707-1583
(631) 416-1372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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