Individual
AMBER RAE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Mailing address
429 NW 3RD ST, GAINESVILLE, FL 32601-5291
(352) 219-5723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9825
FL
Other
Enumeration date
01/08/2010
Last updated
05/18/2021
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