Individual
AUDREY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 COVENANT BLVD APT 1212, MURFREESBORO, TN 37128-6492
(336) 341-1184
Mailing address
350 COVENANT BLVD APT 1212, MURFREESBORO, TN 37128-6492
(336) 341-1184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-19088
AZ
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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