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Individual

MS. ALEXIS NICHOLE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 696-6391
Mailing address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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