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Individual

MS. KELLEY CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
714 WEST FIRST STREET, MOREHEAD, KY 40351
(606) 217-7129
Mailing address
100 RODBURN HOLLOW RD APT 134, MOREHEAD, KY 40351-9043
(859) 967-7136

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256973
KY

Other

Enumeration date
10/06/2022
Last updated
10/06/2022
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