Individual
SHEMEKIA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 CASALINA DR, NORTH AUGUSTA, SC 29860-9192
(803) 640-6529
Mailing address
44 CASALINA DR, NORTH AUGUSTA, SC 29860-9192
(803) 640-6529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC004513
GA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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