Individual
DEBORAH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 MEADOWBROOK DR, AMHERST, OH 44001-1065
(440) 225-3827
Mailing address
1173 MEADOWBROOK DR, AMHERST, OH 44001-1065
(440) 225-3827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.944089
OH
1041C0700X
Clinical Social Worker
Primary
I.0009052.SUPV
OH
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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