Individual
SHALONDA N CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 WESTPOINTE CT APT B, LEXINGTON, SC 29073-6944
(803) 743-6396
Mailing address
119 WESTPOINTE CT APT B, LEXINGTON, SC 29073-6944
(803) 743-6396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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