Individual
MRS. KELSEY MEREDITH OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10490 JEFFERIES HWY, WALTERBORO, SC 29488-7770
(843) 709-0528
Mailing address
1529 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB380802
SC
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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