Individual
CAROL A KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5969 BROAD ST, MOUNT JACKSON, VA 22842-9302
(802) 236-5945
Mailing address
5969 BROAD ST, MOUNT JACKSON, VA 22842-9302
(802) 236-5945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0001179
VT
1041C0700X
Clinical Social Worker
Primary
0904010346
VA
1041C0700X
Clinical Social Worker
44SC06177000
NJ
Other
Enumeration date
04/25/2022
Last updated
09/28/2025
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