Individual
STEPHANIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
109 BEE ST, MENTAL HEALTH SERVICE, CHARLESTON, SC 29401-5703
(843) 789-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
XXXX
SC
Other
Enumeration date
06/10/2015
Last updated
10/30/2015
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