Individual
CYNTHIA J KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
453 CERRILLOS RD, SUITE E, SANTA FE, NM 87501-3784
(505) 577-9657
(505) 986-3826
Mailing address
453 CERRILLOS RD, SUITE E, SANTA FE, NM 87501-3784
(505) 577-9657
(505) 986-3826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07258
NM
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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