Individual
TAMBRA ETOILE KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
(843) 317-4096
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
(843) 317-4096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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