Individual
MRS. KIMBERLY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 HARBOR VISTA DR, COLUMBIA, SC 29229-7438
(803) 834-6499
Mailing address
737 HARBOR VISTA DRIVE, COLUMBIA, SC 29229
(803) 834-6499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4357
SC
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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