Individual
KELLI CADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4625 WV-152, LAVALETTE, WV 25535
(000) 000-0000
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00941070
WV
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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