Individual
BRITTANY LYNNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 JOANN ST, COSTA MESA, CA 92626-6455
(949) 631-9041
Mailing address
960 N TUSTIN ST STE 113, ORANGE, CA 92867-5956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
95143
CA
Other
Enumeration date
05/03/2016
Last updated
03/07/2023
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