Individual
KILEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 LIBERTY HILL RD, CAMDEN, SC 29020-1871
(803) 432-5323
Mailing address
1103 PINELANE RD APT 310F, COLUMBIA, SC 29223-1985
(843) 325-5346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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