Individual
KIM JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 CHATTERIS RD, IRMO, SC 29063-2425
(803) 999-8916
Mailing address
307 CHATTERIS RD, IRMO, SC 29063-2425
(803) 999-8916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11066
SC
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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