Individual
MS. KELLY GILL BETH
Active
Individual
MS. KELLY GILL BETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1880C
AL
1041C0700X
Clinical Social Worker
Primary
LW60445728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273814
COMPSYCH
AL
Enumeration date
01/02/2007
Last updated
05/02/2020
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