Individual
RACHEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 SILVER LAKE RD, BAINBRIDGE, GA 39817-6849
(229) 254-0661
Mailing address
511 SILVER LAKE RD, BAINBRIDGE, GA 39817-6849
(229) 254-0661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007289
GA
1041C0700X
Clinical Social Worker
SW17480
FL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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