Individual
KELLI BAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 RON SPRINGS DR, WILLIAMSBURG, VA 23185-6014
(757) 746-5094
Mailing address
1706 TODDS LN # 342, HAMPTON, VA 23666-3123
(757) 746-5094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012646
VA
Other
Enumeration date
11/02/2021
Last updated
10/17/2022
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