Individual
KELLY MARIE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WISHING WELL PATH APT 2308, GEORGETOWN, KY 40324-2185
(859) 429-2131
Mailing address
100 WISHING WELL PATH APT 2308, GEORGETOWN, KY 40324-2185
(859) 429-2131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253167
KY
Other
Enumeration date
04/17/2012
Last updated
03/14/2024
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