Individual
MCKAYLA P HENNESSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 MEETZE AVE, LEXINGTON, SC 29072-2625
(803) 553-3837
Mailing address
311 MEETZE AVE, LEXINGTON, SC 29072-2625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13911
SC
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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