Individual
MS. BETTIENNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
BOX 870100, TUSCALOOSA, AL 35487-0001
(205) 523-4904
Mailing address
BOX 870100, TUSCALOOSA, AL 35487-0001
(205) 523-4904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5347B
AL
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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