Individual
MARTHA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCSD, CCC-SLP
Contact information
Practice address
2801 PELHAM RD, GREENVILLE, SC 29615-4101
(864) 816-0843
Mailing address
751 E GEORGIA STREET, WOODRUFF, SC 29388
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8376
SC
Other
Enumeration date
03/08/2024
Last updated
03/11/2024
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