Organization
JENNIFER A. KELLY, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KELLY LCSW (OWNER)
(405) 412-6215
Entity
Organization
Contact information
Practice address
3801 NW 166TH ST STE 4, EDMOND, OK 73012-9279
(405) 412-6215
Mailing address
3801 NW 166TH ST STE 4, EDMOND, OK 73012-9279
(405) 412-6215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
10/27/2022
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