Individual
STEFANIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCCE
Contact information
Practice address
185 SPRING VIEW CT, DALLAS, GA 30157-3015
(845) 453-7372
Mailing address
185 SPRING VIEW CT, DALLAS, GA 30157-5224
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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