Individual
MRS. KELLY YOUNG KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1300 N 12TH ST, PHOENIX, AZ 85006-2848
(602) 839-3927
Mailing address
2915 E ESTRELLA CT, GILBERT, AZ 85296-8897
(860) 729-6288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006684
CT
1041C0700X
Clinical Social Worker
Primary
LMSW 13277
AZ
Other
Enumeration date
11/16/2006
Last updated
05/20/2011
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