Individual
KELLY TAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
525 W 5TH ST, COVINGTON, KY 41011-1259
(859) 816-5504
Mailing address
509 W SOUTHERN AVE, COVINGTON, KY 41015-1363
(859) 739-8484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256613
KY
Other
Enumeration date
09/19/2022
Last updated
05/12/2025
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