Individual
KELLY GLENN BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., T.C.M.
Contact information
Practice address
1731 NW 6TH ST STE 1-A, GAINESVILLE, FL 32609-8554
(352) 264-8152
Mailing address
1731 NW 6TH ST STE 1-A, GAINESVILLE, FL 32609-8554
(352) 264-8152
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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