Individual
BRUCE ALLEN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LSW, CDCA
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0020283
OH
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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