Individual
KIMBERLY SHERESE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
6112 LUKE ST, COLUMBIA, SC 29203-5068
(803) 665-1283
Mailing address
6112 LUKE ST, COLUMBIA, SC 29203-5068
(803) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-328188
MA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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