Individual
KELLIE PEBBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
457 2ND ST, COLFAX, LA 71417-1807
(318) 827-4357
(318) 409-0099
Mailing address
PO BOX 13312, ALEXANDRIA, LA 71315-3312
(318) 827-4357
(318) 409-0099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15289
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/09/2021
Last updated
03/16/2021
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