Individual
MS. ELIZABETH KELLY
Active
Individual
MS. ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080490
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC50080490
DC BOARD OF SOCIAL WORK
DC
Enumeration date
02/20/2014
Last updated
08/11/2015
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