Individual
JEREMY M KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
113 LINER DR, GREENWOOD, SC 29646-2311
(864) 941-8170
(864) 388-1718
Mailing address
313 MAIN ST STE B, GREENWOOD, SC 29646-2757
(864) 330-8240
(864) 943-1120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
17112
SC
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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