Individual
KELLY M ALCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6611 JEFFERSON ST STE 304, HAYMARKET, VA 20169-4902
(858) 761-3133
Mailing address
6611 JEFFERSON ST STE 304, HAYMARKET, VA 20169-4902
(858) 761-3133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008175
VA
Other
Enumeration date
03/02/2013
Last updated
03/02/2013
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