Individual
REAGAN DEANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
5454 NEW CUT RD STE 3, LOUISVILLE, KY 40214-4271
(502) 333-0218
Mailing address
946 GOSS AVE APT 1332, LOUISVILLE, KY 40217-2279
(502) 727-7287
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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