Individual
MS. DEBRA A. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W
Contact information
Practice address
160 MEDICAL CIR, WEST COLUMBIA, SC 29169-3656
(803) 796-6811
(803) 796-6851
Mailing address
337 OXENBRIDGE WAY, CHAPIN, SC 29036-8412
(803) 960-8524
(803) 345-3379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4780
SC
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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