MICHELLE CRISTINA MICKENS

WEST COLUMBIA, SC
NPI1518475250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence:   1-22-58473)
Enumeration Date2018-01-16
Last Update Date2022-12-29
Business Address
MICHELLE CRISTINA MICKENS
3410 SUNSET BLVD
WEST COLUMBIA, SC 29169-3042
Phone number: 864-757-9918
Mailing Address
MICHELLE CRISTINA MICKENS
1278 ANCRUM FERRY RD
LUGOFF, SC 29078-9604
Phone number: 803-529-2963
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