Individual
CARLY J MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 6TH BAXTER XING # B, FORT MILL, SC 29708-6596
(832) 904-3822
Mailing address
502 6TH BAXTER XING # B, FORT MILL, SC 29708-6596
(832) 904-3822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/06/2025
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