Individual
MRS. KATY RIDDLE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MALLARD ST., GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1215
Mailing address
124 MALLARD ST., GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
239317
SC
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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