Individual
KELLI STANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N LAKEMONT AVE STE B, WINTER PARK, FL 32792-3205
(407) 830-6412
(407) 830-8413
Mailing address
5384 LAKE MARGARET DR APT 101, ORLANDO, FL 32812-6000
(321) 750-4098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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