# KERSHAW COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205493871
- **Authorized official:** ZENOBIA CORLEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 432-4841

## Contact information

- **Practice address:** 1619 JEFFERSON DAVIS HIGHWAY, CAMDEN, SC 29020
- **Practice address phone:** (803) 432-4841
- **Practice address fax:** (803) 424-2280
- **Mailing address:** PO BOX 310, CAMDEN, SC 29021-0310
- **Mailing address phone:** (803) 432-4841
- **Mailing address fax:** (803) 424-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2019
- **Last updated:** 05/20/2019