Individual
MRS. KELLY EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1906 HIGHWAY 521 BYP S, LANCASTER, SC 29720-7579
(803) 285-1456
Mailing address
448 LAKESHORE PKWY, NORTHLAKE II, SUITE 205, ROCK HILL, SC 29730-4264
(803) 329-3177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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