Individual
KELLY SKIDGEL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3461 DENVER PARK, KLAMATH FALLS, OR 97603-7450
(541) 331-4218
Mailing address
3461 DENVER PARK, KLAMATH FALLS, OR 97603-7450
(541) 331-4218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6889
OR
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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