Individual
KIMBERLY C MIREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
201 S MCPHERSON CHURCH RD, SUITE 228, FAYETTEVILLE, NC 28303-4974
(910) 849-8041
Mailing address
PO BOX 17613, GREENVILLE, SC 29606-8613
(910) 849-8041
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12973
NC
225700000X
Massage Therapist
MAS.9682
SC
Other
Enumeration date
08/04/2014
Last updated
03/18/2021
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