Individual
AUDREY KIELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 PROFESSIONAL DR STE 3, MORRISVILLE, VT 05661-9302
(802) 760-0919
Mailing address
109 PROFESSIONAL DR STE 3, MORRISVILLE, VT 05661-9302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000224871
MA
1041C0700X
Clinical Social Worker
Primary
089.0134524
VT
Other
Enumeration date
07/10/2019
Last updated
06/02/2022
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