Individual
MRS. MILLIE SUE KELLEHER
Active
Individual
MRS. MILLIE SUE KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW002536
—
1041C0700X
Clinical Social Worker
Primary
CSW002536
GA
1041S0200X
School Social Worker
CSW002536
—
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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