Individual
MISS KIM H SELENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
48 CLUB FOREST LN, GREENVILLE, SC 29605-3152
(864) 370-0131
Mailing address
245 LOUISVILLE DR, GREENVILLE, SC 29607-6527
(770) 843-7364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4170
SC
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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