Individual
MS. KANIYA GEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
(843) 365-6685
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
(843) 365-6685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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