Individual
JAVONNIA MULDROW KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 355-5616
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6529
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
SC
Enumeration date
12/10/2015
Last updated
07/17/2024
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