Individual
CYNTHIA ROBYN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
199 CECILIA CT, SAINT AUGUSTINE, FL 32086-7305
(253) 625-6060
Mailing address
199 CECILIA CT, SAINT AUGUSTINE, FL 32086-7305
(253) 625-6060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW 00006244
WA
1041C0700X
Clinical Social Worker
Primary
SW17557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115955
—
WA
Enumeration date
01/11/2011
Last updated
03/21/2023
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