Individual
CHELSEA LYNN LARYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 309-4123
Mailing address
295 GALLASHAW RD, SUMMERVILLE, SC 29483-7504
(843) 309-4123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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