Individual
KATHLEEN KAREN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW, LICSW
Contact information
Practice address
5415 CONNECTICUT AVE NW, SUITE T-43, WASHINGTON, DC 20015-2765
(202) 230-9307
Mailing address
5415 CONNECTICUT AVE NW, SUITE T-43, WASHINGTON, DC 20015-2765
(202) 230-9307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078837
DC
Other
Enumeration date
06/28/2010
Last updated
11/17/2012
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