Individual
MRS. DESIREE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,RCSWI
Contact information
Practice address
708 NE 6TH ST, CRYSTAL RIVER, FL 34428-3704
(352) 228-4969
Mailing address
20093 SW 81ST ST, DUNNELLON, FL 34431-5211
(352) 601-1784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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