Individual
MARILYN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-COUNSELING
Contact information
Practice address
17 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 283-0637
Mailing address
7 CARVER ST, DUE WEST, SC 29639-9583
(864) 376-9281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7074
SC
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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