Individual
CIRA T KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3177 E TREMONT AVE FL 2, BRONX, NY 10461-5718
(718) 239-8239
Mailing address
210 W 150TH ST APT 2D, NEW YORK, NY 10039-2510
(917) 523-3268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
070061-1
NY
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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