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1821358847
KIMBERLY NICOLE PENDERGRASS
COLUMBIA, SC
NPI
1821358847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 5316)
Enumeration Date
2012-05-23
Last Update Date
2013-09-12
Business Address
Miss KIMBERLY NICOLE PENDERGRASS M.A. CCC-SLP
112 WESTSHIRE PL
COLUMBIA, SC 29210-4663
Phone number: 803-229-5162
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Mailing Address
Miss KIMBERLY NICOLE PENDERGRASS M.A. CCC-SLP
112 WESTSHIRE PL
COLUMBIA, SC 29210-4663
Phone number: 803-229-5162
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