Individual
THOMASINE KERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 TARPON SPRINGS RD, COLUMBIA, SC 29223-2610
(757) 402-0723
Mailing address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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