Individual
KELLY HOWARD SERRICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
30 POINTE CIR, GREENVILLE, SC 29615-3506
(864) 655-5193
(864) 655-5183
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16875
SC
Other
Enumeration date
05/21/2012
Last updated
08/22/2024
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