Individual
KELLY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29398 RECOVERY WAY, JUNCTION CITY, OR 97448-8447
(541) 465-2797
Mailing address
29398 RECOVERY WAY, JUNCTION CITY, OR 97448-8447
(541) 465-2797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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