Individual
ANDRE SPINKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 934-1968
Mailing address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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