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1124466461
KELLI MCKINNON THIELBAR
IRMO, SC
NPI
1124466461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: SC 203279)
Enumeration Date
2013-06-10
Last Update Date
2013-06-10
Business Address
-- KELLI MCKINNON THIELBAR
115 CONNIE WRIGHT RD
IRMO, SC 29063-8764
Phone number: 803-476-4413
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Mailing Address
-- KELLI MCKINNON THIELBAR
115 CONNIE WRIGHT RD
IRMO, SC 29063-8764
Phone number:
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