Individual
KELLY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 FOUNTAIN LAKE DR S, SHELBYVILLE, IN 46176-9780
(317) 604-6924
Mailing address
194 FOUNTAIN LAKE DR S, SHELBYVILLE, IN 46176-9780
(317) 604-6924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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