Individual
MS. KIMBERLY KAY KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 N. HIGHWAY 89, PRESCOTT, AZ 86313
(180) 094-9100
(928) 776-6125
Mailing address
4608 E WINDSONG LN, FLAGSTAFF, AZ 86004-7520
(928) 526-6094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
# 10056
AZ
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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