Individual
MS. JOCELYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3313 PAPER MILL RD STE 5, PHOENIX, MD 21131-1465
(443) 879-9559
Mailing address
3313 PAPER MILL RD STE 5, PHOENIX, MD 21131-1465
(443) 879-9559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20548
MD
104100000X
Social Worker
20548
MD
1041C0700X
Clinical Social Worker
Primary
20548
MD
Other
Enumeration date
05/29/2019
Last updated
06/05/2024
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