Individual
KELLY MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2621
Mailing address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
219284
SC
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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