Individual
JOYCE MELINDA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8181 MAIN STREET, 2ND FLOOR, ELLICOTT CITY, MD 21043
(757) 651-3001
(757) 222-3833
Mailing address
135 FIONA WAY, KNOXVILLE, MD 21758-8911
(443) 562-4169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25641
MD
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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