LATAVIA MACK

BOWMAN, SC
NPI1962292367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106E00000X Assistant Behavior Analyst
Enumeration Date2025-05-08
Last Update Date2025-05-08
Business Address
Miss LATAVIA MACK
120 OAK ST
BOWMAN, SC 29018
Phone number: 803-596-8651
Mailing Address
Miss LATAVIA MACK
PO BOX 485
BOWMAN, SC 29018-0485
Phone number: 803-596-8651