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Individual

MERISSA ANN PERNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2144 SUMTER ST STE B, COLUMBIA, SC 29201-2182
(803) 258-0533
Mailing address
170 COLONY DRIVE, CAMDEN, SC 29020

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SC

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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