Individual
CASSANDRA MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3438 PA-764, DUNCANSVILLE, PA 16635
(814) 944-7000
Mailing address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/05/2018
Last updated
04/25/2025
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