Individual
KELLI LYNN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1570 WAVERLY RORAD, KINGSPORT, TN 37664
(423) 224-1300
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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