Individual
TIERRA MOCHELLRIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PINCKNEY ST. C1, CHESTER, SC 29706
(803) 899-2962
Mailing address
102 PINCKNEY ST. C1, CHESTER, SC 29706
(803) 899-2962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
103573369
SC
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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