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Individual

KRISTA ROSCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SSP, NCSP, LPES

Contact information

Practice address
2701 CALROSSIE RD, ANDERSON, SC 29621-2709
(864) 260-5105
Mailing address
2701 CALROSSIE RD, ANDERSON, SC 29621-2709
(864) 260-5105

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4651
SC

Other

Enumeration date
10/09/2015
Last updated
10/09/2015
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