Individual
ROSEMARIE CORINNE VAN ETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY BLVD, BLUFFTON, SC 29909-6085
(803) 687-4048
Mailing address
1450 BROAD ST LOT C, LEESVILLE, SC 29070-9237
(803) 687-4048
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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