Individual
CARLIE ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 DATA PARK CIR, HOOVER, AL 35244-1252
(205) 705-0195
Mailing address
1034 23RD ST S STE 202, BIRMINGHAM, AL 35205-2462
(205) 705-0195
(205) 994-6013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3798A
AL
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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