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Individual

LAUREN KITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28 JIMMY DOOLITTLE DR, GREENVILLE, SC 29607-2622
(864) 679-8606
Mailing address
28 JIMMY DOOLITTLE DR, GREENVILLE, SC 29607-2622
(864) 679-8606

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4200
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4200
SC LICENSE NUMBER
SC
Enumeration date
11/08/2013
Last updated
11/08/2013
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  • EDI platform