Angela K Kelly LMSW

NPI 1497015143 - Social Worker - 1041C0700X

NPI Details
NPI 1497015143
Gender Female
Enumeration Date 05/28/2012
Last Updated 05/28/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
732 WASHINGTON AVE
POCATELLO ID, 83201-3748, US
Phone (208) 478-9822
Fax
Business Location
1675 FOXMORE ST
POCATELLO ID, 83204-4677, US
Phone (208) 317-2347
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LMSW-31940
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According to our database, Mrs. Angela K Kelly LMSW NPI is 1497015143, taxonomy code is 1041C0700X and license number is LMSW-31940, license state is located at Idaho. Angela K Kelly LMSW physically located at 732 Washington Ave, Pocatello ID, 83201-3748. NPI Number Angela K Kelly LMSW has the Individual type.

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1497015143 NPI number is provided on an as is basis without warranty of any kind. 1497015143 is maintained by the National Plan & Provider Enumeration System. The contents of Angela K Kelly LMSW are for informational purposes only.