Individual
AUDREY SUZANNE CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S MAIN ST STE C, MAULDIN, SC 29662-2251
(864) 735-0842
Mailing address
28 CARDINAL DR, TAYLORS, SC 29687-3211
(864) 735-0842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6842
SC
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/09/2012
Last updated
07/23/2020
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