Individual
AMBER M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
76 VETERANS AVE # 11630210, BATH, NY 14810-0840
(607) 664-4000
(607) 664-4360
Mailing address
73 VETERANS AVE, BH-116-30-210, BATH, NY 14810
(607) 664-4000
(607) 664-4360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103521
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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