Individual
CHRISTIAN M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3415 GERLANDO DR, BATON ROUGE, LA 70814-1109
(225) 317-0526
Mailing address
17157 WAX RD APT B, GREENWELL SPRINGS, LA 70739-5042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17607
LA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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