Individual
MS. AMY S. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-2170
Mailing address
300 VEAZEY RD, BUTNER, NC 27509
(919) 764-2170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C007680
NC
1041C0700X
Clinical Social Worker
Primary
C007680
NC
Other
Enumeration date
04/20/2012
Last updated
01/06/2014
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