Individual
KELLY ELIZABETH WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
599 E CHURCH ST, HOMER CITY, PA 15748-1342
(724) 762-5228
Mailing address
655 CHURCH ST STE 330, INDIANA, PA 15701-2789
(724) 463-3600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH001056
PA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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