Individual
KELLY LALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1921 S ALMA SCHOOL RD, MESA, AZ 85210-3036
(480) 466-2428
Mailing address
1000 W HAZEL WAY, FLAGSTAFF, AZ 86001-1206
(928) 853-8908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-17942
AZ
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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