Individual
MS. KELLI REIDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
300 MONTGOMERY ST # 207, ALEXANDRIA, VA 22314-1544
(571) 403-2552
Mailing address
300 MONTGOMERY ST # 207, ALEXANDRIA, VA 22314-1544
(571) 403-2552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008097
VA
1041C0700X
Clinical Social Worker
CSW.09924922
CO
1041C0700X
Clinical Social Worker
LC50078939
DC
Other
Enumeration date
03/02/2011
Last updated
03/17/2018
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