MS. Kelly Josette Medlin, LCSW

NPI #1083859821 in Alton, Illinois

Provider Information

NPI Number
1083859821
Entity Type
Individual
Name
MS. Kelly Josette Medlin, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 9, 2008
Last Updated
Dec 9, 2008

Practice Location

Address
2615 EDWARDS ST
City
Alton
ZIP Code
62002-3915
Phone
(618) 462-2331

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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