Michele Kelly, LCSW

NPI #1033541933 in Blackfoot, Idaho

Provider Information

NPI Number: 1033541933
Entity Type: Individual
Name: Michele Kelly, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 1, 2013
Last Updated: Apr 16, 2014

Practice Location

Address: 295 CENTENNIAL STREET
City: Blackfoot
State: Idaho
ZIP Code: 83221-2700
Phone: (208) 680-4086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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