Individual
CALENE SHERRIE THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 WILLIAMSBURG LN, CHARLESTON, SC 29414-5524
(843) 955-7860
Mailing address
831 WILLIAMSBURG LN, CHARLESTON, SC 29414-5524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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