Individual
LAUREN GREGORY KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
5001 N KINGS HWY, RAINBOW HARBOR, SUITE # 205, MYRTLE BEACH, SC 29577-2556
(843) 446-5218
Mailing address
609 61ST AVE N, MYRTLE BEACH, SC 29577-2268
(843) 446-5218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5421
SC
Other
Enumeration date
05/24/2007
Last updated
10/16/2007
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