Individual
KELLY REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2208 QUARRY DR STE 200, READING, PA 19609-1158
(610) 563-2052
Mailing address
175 PINE TREE DR, CRESCO, PA 18326-7334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW133590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW133590
LICENSE
—
Enumeration date
05/02/2018
Last updated
05/02/2018
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