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Maren Macconnell

Behavior Technician in West Columbia, SC. Individual provider (NPI-1).

NPI number1669987376
StatusActive
Last updated in NPPESDec 5, 2017

Details

NPI
1669987376
Entity type
Individual (NPI-1)
Name
Maren Macconnell
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2017
Last updated
Dec 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician17-39336SCYes

Practice location

3115 Sunset Blvd
West Columbia, SC 29169-3425

Phone 803-791-3722

Mailing address

181 W Professional Park Ct Ste 1
Bowling Green, KY 42104-3250

Phone 270-777-9283

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