Individual
MS. MICHELLE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 EASTER ST, COLUMBIA, SC 29203-5177
(803) 608-1574
Mailing address
131 EASTER ST, COLUMBIA, SC 29203-5177
(803) 608-1574
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
272487
SC
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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