Individual
KELLY IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
700 N 7TH AVE, TUCSON, AZ 85705-8307
(520) 202-1717
(520) 202-1702
Mailing address
1650 E FORT LOWELL RD, SUITE 202, TUCSON, AZ 85719-2374
(520) 202-1717
(520) 202-1702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-12696
AZ
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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