Individual
KELLI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
162 DELUCA DR, SCIENCE HILL, KY 42553-9053
(859) 428-7374
Mailing address
162 DELUCA DR, SCIENCE HILL, KY 42553-9053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252744
KY
Other
Enumeration date
10/01/2014
Last updated
10/22/2024
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