Individual
MS. CYNTHIA ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
600 E UNAKA AVE, JOHNSON CITY, TN 37601-4035
(423) 330-7943
(877) 489-8209
Mailing address
1535 N MAIN AVE, ERWIN, TN 37650-7995
(423) 330-7943
(877) 489-8209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520556
—
TN
Enumeration date
08/05/2010
Last updated
02/21/2014
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