Individual
CYNTHIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-1518
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-1518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00939218
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205288842
—
WV
Enumeration date
07/07/2016
Last updated
07/09/2024
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