Individual
SHANTIQUE TIARA STURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3011 DREWSKY LN UNIT 303, FORT MILL, SC 29715-0096
(704) 420-9256
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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