Individual
ALYSIA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 RENEE DR UNIT B, MYRTLE BEACH, SC 29579-4108
(843) 504-9972
Mailing address
3876 RENEE DR UNIT B, MYRTLE BEACH, SC 29579-4108
(843) 504-9972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16654
SC
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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