Individual
KIMBERLY DEANE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
127 HUGHES ST, FOUNTAIN INN, SC 29644-2222
(864) 884-6091
Mailing address
127 HUGHES ST, FOUNTAIN INN, SC 29644-2222
(864) 884-6091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8667
SC
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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