Individual
MS. STAR KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9685
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3687
AZ
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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