Individual
KERIANNE KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 PROFESSIONAL VILLAGE CIR, BEAUFORT, SC 29907-1575
(843) 371-1602
(803) 905-4431
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-8283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11521189
SC
Other
Enumeration date
01/05/2016
Last updated
12/01/2016
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