Individual
MS. CATHY EILEEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15133 W BOCA RATON RD, SURPRISE, AZ 85379-8004
(623) 256-8285
Mailing address
15133 W BOCA RATON RD, SURPRISE, AZ 85379-8004
(623) 256-8285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12152
AZ
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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