Individual
KATHARINE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WHITSETT ST, GREENVILLE, SC 29601-3138
(864) 520-1614
(864) 484-8458
Mailing address
113 WHITSETT ST, GREENVILLE, SC 29601-3138
(864) 520-1614
(864) 484-8458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-134716
SC
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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