Individual
ERICA DANYELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9887 EDISTO WAY, MIDDLE RIVER, MD 21220-1801
(443) 762-7537
Mailing address
9887 EDISTO WAY, MIDDLE RIVER, MD 21220-1801
(443) 762-7537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NPI
—
05
—
0000
—
MD
Enumeration date
01/25/2019
Last updated
01/25/2019
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