Individual
KELLI SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9903 CONIFER LN, MURRELLS INLET, SC 29576-8597
(843) 455-1040
Mailing address
9903 CONIFER LN, MURRELLS INLET, SC 29576-8597
(843) 455-1040
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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