Individual
MADISON DUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 ARBORLAND WAY, GREENVILLE, SC 29615-2201
(864) 565-9360
(864) 484-8458
Mailing address
10 ARBORLAND WAY, GREENVILLE, SC 29615-2201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-228890
SC
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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