Most Relevant Information
Provider Data
| NPI Number: | 1003467267 |
| Provider Name: | MARTRELL DENISE KELLY JOHN LISW-CP |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 10326 |
Most Important Dates
| Enumeration Date: | 09/27/2019 |
| Last Updated: | 09/27/2019 |
Provider Practice Location
250 COMMONWEALTH DR
GREENVILLE
SC
296154846
Practice Location Phone/Fax
| Phone: | 2404637794 |
| Fax: |
Provider Mailing Location
139 HARMONY DR
SPARTANBURG
SC
293015729
Provider Mailing Phone/Fax
| Phone: | 2404637794 |
| Fax: |