Individual
VANESSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 CHERRY RD, ROCK HILL, SC 29732-2616
(803) 792-0771
Mailing address
511 FOREST RIDGE DR, FORT MILL, SC 29715-6421
(585) 524-7566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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