Individual
MIAH GRACE COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 AMERICAN AVE, TURBEVILLE, SC 29162-9589
(803) 406-0014
Mailing address
2340 AMERICAN AVE, TURBEVILLE, SC 29162-9589
(803) 406-0014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-436102
SC
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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