Individual
KATHERINE STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
866 OLD ORANGEBURG RD, LEXINGTON, SC 29073-8745
(607) 280-0304
Mailing address
866 OLD ORANGEBURG RD, LEXINGTON, SC 29073-8745
(607) 280-0304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374J00000X
Doula
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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