Individual
KELLY WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
CORNER OF LAMONT & VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 928-6174
(423) 926-2258
Mailing address
417 FERGUSON AVE, ELIZABETHTON, TN 37643-3048
(423) 895-9330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14934
TN
Other
Enumeration date
07/25/2024
Last updated
10/31/2025
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