Individual
NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(843) 619-5927
Mailing address
151 FIRETHORN DR, GOOSE CREEK, SC 29445-7362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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