Christina Marie Kelly MSW, LICSW

NPI 1598096885 - Social Worker - 1041C0700X

NPI Details
NPI 1598096885
Gender Female
Enumeration Date 01/26/2010
Last Updated 03/15/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
410 S 5TH ST
MANKATO MN, 56001-4592, US
Phone (507) 304-4319
Fax (507) 304-4387
Business Location
2172 WILLOW TRL
NORTH MANKATO MN, 56003-4235, US
Phone (507) 381-4799
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 18535
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According to our database, Christina Marie Kelly MSW, LICSW NPI is 1598096885, taxonomy code is 1041C0700X and license number is 18535, license state is located at Minnesota. Christina Marie Kelly MSW, LICSW physically located at 410 S 5th St, Mankato MN, 56001-4592. NPI Number Christina Marie Kelly MSW, LICSW has the Individual type.

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1598096885 NPI number is provided on an as is basis without warranty of any kind. 1598096885 is maintained by the National Plan & Provider Enumeration System. The contents of Christina Marie Kelly MSW, LICSW are for informational purposes only.