KIMERLY L TISDALE

CONWAY, SC
NPI1891890976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
-- KIMERLY L TISDALE MA
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- KIMERLY L TISDALE MA
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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