Individual
NATASHA M KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2950 ALOUETTE DR APT 921, GRAND PRAIRIE, TX 75052-8150
(203) 326-0196
Mailing address
2950 ALOUETTE DR APT 921, GRAND PRAIRIE, TX 75052-8150
(203) 326-0196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115887
IL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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