Individual
MISS KIFFANY PERLOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1644 JACKSON ST, BARNWELL, SC 29812-2156
(803) 541-1245
Mailing address
PO BOX 1700, BARNWELL, SC 29812-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
06/16/2015
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