Individual
CHERYL KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 821-7299
Mailing address
40 HEISZ ST APT C, EDWARDSVILLE, PA 18704-4442
(570) 283-2597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012760
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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