Individual
KATHRYN ELIZABETH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HARRIS ST, GREENVILLE, SC 29601-3513
(803) 465-0927
Mailing address
15 HARRIS ST, GREENVILLE, SC 29601-3513
(803) 465-0927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5590
SC
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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