Individual
KIMBERLY WATT-BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4777
Mailing address
102 WATERTON WAY, COLUMBIA, SC 29229-7533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4734
SC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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