Individual
KIM LABOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 COLLETON LOOP, WALTERBORO, SC 29488-3069
(843) 782-0031
(843) 782-0043
Mailing address
2844 BOHICKET RD, JOHNS ISLAND, SC 29455-7209
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
258226
SC
Other
Enumeration date
03/12/2014
Last updated
03/22/2017
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