Provider Information for 1740789957
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KEISA HILL LPC-i
Sex: Female
NPI: 1740789957
Last Updated: 2018-02-03
Certification Date:
Certification Date:
Details
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| NPI | 1740789957 | ||||||||
| Enumeration Date | 2018-02-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 340 ZION CHURCH RD PACOLET, SC 29372-2929 United States Phone: 864-398-2380 | Fax: | ||||||||
| Primary Practice Address | 340 ZION CHURCH RD PACOLET, SC 29372-2929 United States Phone: 864-398-2380 | Fax: | ||||||||
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