Kathy Mary Kelly LCSW

NPI 1114099082 - Social Worker - 1041C0700X

NPI Details
NPI 1114099082
Gender Female
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4105 E BROADWAY
#201
LONG BEACH CA, 90803, US
Phone (562) 987-3335
Fax (562) 930-1095
Business Location
4105 E BROADWAY
#201
LONG BEACH CA, 90803, US
Phone (562) 987-3335
Fax (562) 930-1095
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS13648
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According to our database, Mrs. Kathy Mary Kelly LCSW NPI is 1114099082, taxonomy code is 1041C0700X and license number is LCS13648, license state is located at California. Kathy Mary Kelly LCSW physically located at 4105 E Broadway, Long Beach CA, 90803. NPI Number Kathy Mary Kelly LCSW has the Individual type.

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1114099082 NPI number is provided on an as is basis without warranty of any kind. 1114099082 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Mary Kelly LCSW are for informational purposes only.