Individual
DANIELLE SHARISSA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 ELMWOOD AVE, LADSON, SC 29456-4932
(843) 478-2555
Mailing address
204 ELMWOOD AVE, LADSON, SC 29456-4932
(843) 478-2555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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