Individual
ASHEY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Mailing address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171097
OH
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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