Individual
JORDAN DAQUAN SWEETENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 GALES RIVER RD, IRMO, SC 29063-2462
(803) 549-9711
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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