Individual
NEAH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
68 HAGOOD AVE, CHARLESTON, SC 29403-7104
(803) 667-1416
Mailing address
1053 RIFLE RANGE RD APT 4E, MOUNT PLEASANT, SC 29464-4632
(843) 489-1758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11086
SC
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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