Individual
MRS. ELAINE CLAIR KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 E FOWLER AVE, SUITE 140, TAMPA, FL 33612-5249
(813) 961-5473
(813) 961-8380
Mailing address
14931 REDCLIFF DR, TAMPA, FL 33625-1959
(813) 961-5473
(813) 961-8380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3198
FL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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