Individual
MS. KAREN ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MAC, CDCS
Contact information
Practice address
5955 ZEAMER AVE # 673MDG, JBER, AK 99506-3702
(907) 551-3782
Mailing address
673 MDG, 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 551-3782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109450
AK
Other
Enumeration date
11/04/2014
Last updated
09/18/2020
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