Individual
DR. JACQUELINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
220 GEORGE W LILES PKWY NW, CONCORD, NC 28027-6531
(704) 795-0423
Mailing address
658 SUMMERFORD CT NW, CONCORD, NC 28027-7712
(704) 467-3730
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1191
NC
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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