Individual
MISS KELLY PERREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3917 VOLUNTEER DR STE 121, CHATTANOOGA, TN 37416-3885
(423) 541-4187
Mailing address
710 SHADY DR, CHATTANOOGA, TN 37412-2980
(423) 315-2328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LSW0000006878
TN
Other
Enumeration date
09/30/2012
Last updated
05/08/2019
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