Individual
LINDA AMONDI OKELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 CENTRAL AVE, SUMMERVILLE, SC 29483-9320
(843) 934-2697
Mailing address
1711 CENTRAL AVE, SUMMERVILLE, SC 29483-9320
(843) 934-2697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RBT-22-243096
—
SC
Enumeration date
11/14/2022
Last updated
11/14/2022
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