MARY OUTLAW

IRMO, SC
NPI1588396030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: SC  RBT-22-221906)
Enumeration Date2022-06-24
Last Update Date2022-06-24
Business Address
MARY OUTLAW
1084 LAKE MURRAY BLVD
IRMO, SC 29063-2821
Phone number: 706-842-5330
Mailing Address
MARY OUTLAW
525 8TH ST P.O. BOX 2567
AUGUSTA, GA 30901-9998
Phone number: 706-842-5330