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Individual

MR. KEVIN SCOTT MALLORY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.S., L.P.C.

Contact information

Practice address
1326 HAYWOOD RD, SUITE 202, GREENVILLE, SC 29615-2255
(864) 787-1283
(864) 268-6020
Mailing address
PO BOX 26581, GREENVILLE, SC 29616-1581
(864) 787-1283
(864) 268-6020

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2458
SC

Other

Enumeration date
05/31/2006
Last updated
07/08/2007
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