Individual
LAUREN STEPHANIE MASTROIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 934-1981
Mailing address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 934-1981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-321462
SC
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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