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Individual

KELLY MARIE ELEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
6750 ANTIOCH RD STE 210, OVERLAND PARK, KS 66204-1260
(888) 637-3938
Mailing address
6750 ANTIOCH RD STE 210, OVERLAND PARK, KS 66204-1260
(888) 637-3938

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020028052
MO
1041C0700X
Clinical Social Worker
7268-C
AR

Other

Enumeration date
07/21/2008
Last updated
12/22/2022
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