Individual
KELLIE JELLYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 NUNUVILLE RD, WALTERBORO, SC 29488-9629
(848) 433-4376
Mailing address
579 NUNUVILLE RD, WALTERBORO, SC 29488-9629
(848) 433-4376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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