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Organization
KELLY DAUGHERTY, LCSW, PLLC
Active
Organization
KELLY DAUGHERTY, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DAUGHERTY LCSW (OWNER)
(518) 219-8625
Entity
Organization
Contact information
Practice address
100 SARATOGA VILLAGE BLVD STE 21, MALTA, NY 12020-3703
(518) 219-8625
Mailing address
118 WHITE RD, BALLSTON SPA, NY 12020-2120
(518) 219-8625
(518) 309-6599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/03/2025
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