Individual
KATELYN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
2560 MONA AVE, CHARLESTON, SC 29414-6413
(603) 812-3625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15750
SC
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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