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Individual

KELLI HANNA EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
Mailing address
3041 HOLMANSCROSSROAD, GOODWATER, AL 35072-5073
(334) 301-8653

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0903003847
VA
1041C0700X
Clinical Social Worker
Primary
17370
SC
1041C0700X
Clinical Social Worker
6088G
AL

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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