Individual
KELLY R. PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, TCM
Contact information
Practice address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 506-4000
Mailing address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 506-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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