Individual
ANNA M STOUDENMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
751 E GEROGIA ROAD, WOODRUFF, SC 29388
(864) 770-5034
Mailing address
420 KEELER MILL RD, TRAVELERS REST, SC 29690-9050
(864) 770-5034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24133
SC
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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