Individual
KIMBERLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 WEBSTER ST, ORANGEBURG, SC 29115-4348
(803) 347-7578
Mailing address
1101 ELLIS AVE, ORANGEBURG, SC 29115-4405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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