Individual
CRYSTAL KELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9622
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW05314800
NJ
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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