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Individual

MARTRELL DENISE KELLY JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
250 COMMONWEALTH DR, GREENVILLE, SC 29615-4846
(240) 463-7794
Mailing address
139 HARMONY DR, SPARTANBURG, SC 29301-5729
(240) 463-7794

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10326
SC
1041C0700X
Clinical Social Worker
14582
MD

Other

Enumeration date
09/27/2019
Last updated
09/27/2019
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