Individual
KISHA SHARELL LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 HARRINGTON ST, NEWBERRY, SC 29108-3026
(803) 276-0794
(803) 276-6669
Mailing address
1601 LONGCREEK DR APT 2603, COLUMBIA, SC 29210-7159
(803) 673-4351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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