Individual
MS. KACIE JAY KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5515 SHELBY OAKS DR, MEMPHIS, TN 38134-7316
(901) 252-4600
Mailing address
3884 LYTLE CIRCLE, MEMPHIS, TN 38122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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