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Individual

ALLISON BROOKE BURGOYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 AMY ST, MONCKS CORNER, SC 29461-8522
(843) 224-5372
Mailing address
115 AMY ST, MONCKS CORNER, SC 29461-8522
(843) 224-5372

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SC

Other

Enumeration date
11/15/2025
Last updated
11/15/2025
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