Individual
KELLY DELAYNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2310 N PATTERSON ST, SUITE G, VALDOSTA, GA 31602-2568
(229) 244-9688
(229) 244-5354
Mailing address
2310 N PATTERSON ST, SUITE G, VALDOSTA, GA 31602-2568
(229) 244-9688
(229) 244-5354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004320
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510380328A
—
GA
Enumeration date
05/20/2008
Last updated
04/25/2012
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