Individual
KELLY J GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1427 N 17TH ST, VINCENNES, IN 47591-5805
(812) 316-2870
Mailing address
1427 N 17TH ST, VINCENNES, IN 47591-5805
(812) 316-2870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006493A
IN
1041C0700X
Clinical Social Worker
149.018149
IL
1041C0700X
Clinical Social Worker
Primary
34007146A
IN
Other
Enumeration date
03/20/2014
Last updated
11/27/2017
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