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1225789068
KELLY TAYLOR
MYRTLE BEACH, SC
NPI
1225789068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
KELLY TAYLOR
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 843-492-2269
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Mailing Address
KELLY TAYLOR
1042 PINNER PL
MYRTLE BEACH, SC 29577-4221
Phone number: 843-903-6212
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