Individual
KIMBERLY LYNETTE MERRITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 N WILLISTON RD, FLORENCE, SC 29506-8744
(843) 597-6693
Mailing address
2722 OLDE MILL RD, FLORENCE, SC 29505-6475
(843) 597-6693
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
07/13/2020
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