Individual
KARA KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
1501 SAN PEDRO DR SE, ATTN: 116, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5443
Mailing address
1501 SAN PEDRO DR SE, ATTN: 116, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06093
NM
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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