Individual
KELLY MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
755 SCOTT CIRCLE, JBPHH, HI 96853-1500
(808) 448-6377
Mailing address
755 SCOTT CIRCLE, JBPHH, HI 96853
(808) 448-6377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14063
FL
Other
Enumeration date
06/08/2013
Last updated
08/21/2024
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