Delasandra Kelly, LLBSW

NPI #1093172710 in Benton Harbor, Michigan

Provider Information

NPI Number: 1093172710
Entity Type: Individual
Name: Delasandra Kelly, LLBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: LLBSW
Enumeration Date: Jan 26, 2016
Last Updated: Jan 26, 2016

Practice Location

Address: 331 HIGH ST
City: Benton Harbor
State: Michigan
ZIP Code: 49022-4523
Phone: (269) 419-7709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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