Individual
MRS. KELLY DANIELS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
2106 CELANESE RD, ROCK HILL, SC 29732-1306
(803) 463-0643
(803) 324-5111
Mailing address
PO BOX 411832, CHARLOTTE, NC 28241-1832
(803) 463-0643
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5355
SC
101YS0200X
School Counselor
—
—
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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