Individual
ELLEN JANUARY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1277
(812) 206-1543
Mailing address
460 SPRING ST, JEFFERSONVILLE, IN 47130-3452
(812) 206-1277
(812) 206-1543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY3947
KY
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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