Individual
JESSICA RENE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 FAULKNER DR, CLARKSVILLE, TN 37042-1337
(931) 561-6354
Mailing address
417 FAULKNER DR, CLARKSVILLE, TN 37042-1337
(931) 561-6354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6627
TN
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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