Individual
MRS. KASEY KNIGHT ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
9260 ASBURY LN, FORT MILL, SC 29707-7527
(803) 431-4382
Mailing address
9260 ASBURY LN, FORT MILL, SC 29707-7527
(803) 431-4382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7481
SC
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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