Individual
KELLEE PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 BEHRENDS AVE, JUNEAU, AK 99801-1415
(971) 227-9277
Mailing address
205 BEHRENDS AVE, JUNEAU, AK 99801-1415
(971) 227-9277
(888) 976-5806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
194005
AK
1041C0700X
Clinical Social Worker
Primary
L4182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500669839
DMAP (OREGON HEALTH PLAN)
OR
Enumeration date
07/03/2008
Last updated
07/11/2023
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