Individual
MRS. KELLY ANN ENGLAND
Active
Individual
MRS. KELLY ANN ENGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001129
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
014522
MI
1041C0700X
Clinical Social Worker
Primary
2009007168
MO
Other
Enumeration date
07/23/2007
Last updated
01/06/2020
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