MARISSA LANE

LADSON, SC
NPI1538981956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-10-28
Last Update Date2024-10-28
Business Address
MARISSA LANE
482 OLD FORT DR
LADSON, SC 29456-5277
Phone number: 843-996-2350
Mailing Address
MARISSA LANE
482 OLD FORT DR
LADSON, SC 29456-5277
Phone number: 843-996-2350