Individual
MRS. KATHRYN PORTER GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
(864) 476-7400
Mailing address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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