Individual
ALEXIS ANN SKELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP, CDE
Contact information
Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 450-2727
Mailing address
PO BOX 71256, MYRTLE BEACH, SC 29572-0039
(843) 450-2727
(843) 564-3634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122232
SC
1041C0700X
Clinical Social Worker
C009475
NC
174H00000X
Health Educator
—
—
Other
Enumeration date
02/07/2017
Last updated
12/28/2020
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