Individual
CAROLINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
760 HIGHLAND OAKS DR STE 200, WINSTON SALEM, NC 27103-7114
(336) 277-4380
(336) 659-0659
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013387
NC
1041C0700X
Clinical Social Worker
P012514
NC
Other
Enumeration date
06/20/2018
Last updated
08/02/2023
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