Individual
MRS. KELLY CARPENTER BOZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
240 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 699-9213
Mailing address
240 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 699-9213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5687
SC
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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