Individual
MRS. KAYLEE CHARICE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E 5TH NORTH ST # 120A, SUMMERVILLE, SC 29483-6822
(843) 460-2605
Mailing address
120 E 5TH NORTH ST # 120A, SUMMERVILLE, SC 29483-6822
(843) 460-2605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
105641210
SC
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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