Individual
DR. KELLI ANN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
256 BANYAN BLVD, RICHMOND, KY 40475-4102
(606) 599-6576
Mailing address
256 BANYAN BLVD, RICHMOND, KY 40475-4102
(606) 599-6576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259316
KY
Other
Enumeration date
01/18/2022
Last updated
11/04/2024
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