Individual
KIMBERLY LAURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CAPE LOOKOUT CT, IRMO, SC 29063-2911
(803) 521-9607
Mailing address
5 CAPE LOOKOUT CT, IRMO, SC 29063-2911
(803) 521-9607
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5191
SC
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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