Individual
KATHLEEN KELSEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1107
(574) 283-1131
Mailing address
PO BOX 316, CULVER, IN 46511-0316
(574) 225-0685
(574) 842-4992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005008A
IN
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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