Individual
TONI KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1037 E OLD HICKORY BLVD, MADISON, TN 37115-4160
(615) 625-2211
Mailing address
4157 GRAPEVINE LOOP, SMYRNA, TN 37167-1178
(615) 522-1235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7882
TN
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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