Individual
JAMMA R KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 CENTRAL AVE, DILLSBORO, IN 47018-7414
(812) 584-6146
Mailing address
9777 CENTRAL AVE, DILLSBORO, IN 47018-7414
(812) 584-6146
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1449413
IN
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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