Individual
KELLY RHYNE CAMPODONICO
Active
Individual
KELLY RHYNE CAMPODONICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MDIV
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW010421
GA
1041C0700X
Clinical Social Worker
Primary
MSW011279
GA
171400000X
Health & Wellness Coach
CSW010421
GA
174H00000X
Health Educator
CSW010421
GA
Other
Enumeration date
09/20/2022
Last updated
06/27/2026
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