Coretta Durant

NPI #1427604115 in Columbia, South Carolina

Provider Information

NPI Number: 1427604115
Entity Type: Individual
Name: Coretta Durant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Aug 17, 2019
Last Updated: Dec 4, 2023

Practice Location

Address: 645 PINE LILLY DR
City: Columbia
State: South Carolina
ZIP Code: 29229-7079
Phone: (803) 886-0908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Homemaker	376J00000X	Primary

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