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Individual

ANN ELDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2580 LIN DO CT, SUMTER, SC 29150-1832
(803) 905-4427
(803) 905-4431
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3099
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EX6560
SC
Enumeration date
05/25/2007
Last updated
06/26/2017
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