Individual
COURTNEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(151) 355-8900
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(151) 355-8900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2991430-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2001430.TRNE
SWT
OH
Enumeration date
09/04/2020
Last updated
09/04/2020
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