Individual
KELLEY MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
3428 LIME ST, VESTAVIA, AL 35242-6340
(225) 326-9490
(225) 293-2912
Mailing address
3428 LIME ST, VESTAVIA, AL 35242-6340
(225) 326-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10168
LA
1041C0700X
Clinical Social Worker
5046C
AL
Other
Enumeration date
12/22/2014
Last updated
12/04/2023
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