Individual
MRS. KRIS SCOTT CORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229
(803) 999-3752
(615) 577-5654
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(844) 359-7629
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/02/2012
Last updated
11/06/2019
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