Individual
KELLEY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CARRIEBROOKE DR, STEPHENS CITY, VA 22655-6000
(540) 686-0220
Mailing address
130 CARRIEBROOKE DR, STEPHENS CITY, VA 22655-6000
(540) 686-0220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015539
VA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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