Individual
MS. DOROTHEA SANDRA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
496 KINGS HWY N, SUITE 223, CHERRY HILL, NJ 08034-1017
(856) 482-2477
(856) 415-0336
Mailing address
496 KINGS HWY N, SUITE 223, CHERRY HILL, NJ 08034-1017
(856) 482-2477
(856) 415-0336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00039100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2235656000
IBC
PA
01
—
4504459
AETNA
PA
Enumeration date
08/31/2006
Last updated
07/08/2007
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