Individual
KELLI HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1429 LAKE JAMES DR, VIRGINIA BEACH, VA 23464-6730
(757) 575-8645
Mailing address
1429 LAKE JAMES DR, VIRGINIA BEACH, VA 23464-6730
(757) 575-8645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015997
VA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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