Individual
STEPHANIE MICHELE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1712 ANGEL CT, SEVERN, MD 21144-1033
(321) 292-9504
Mailing address
1712 ANGEL CT, SEVERN, MD 21144-1033
(321) 292-9504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29088
MD
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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