Individual
DENISE CLINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
114 COMFORT LN, PAWLEYS ISLAND, SC 29585-5553
(704) 804-4293
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
11/11/2023
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