Individual
MS. AMY GASKIN KULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. M. ED.
Contact information
Practice address
207 COMMERCE AVENUE, CHESTERFIELD, SC 29709
(843) 623-2229
(843) 623-2553
Mailing address
PO BOX 471, CHESTERFIELD, SC 29709
(843) 623-2229
(843) 623-2553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
05/12/2008
Last updated
04/14/2011
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