MRS. Kelly Rae Staddie, LCSW

NPI #1093879835 in Mexico, Missouri

Provider Information

NPI Number
1093879835
Entity Type
Individual
Name
MRS. Kelly Rae Staddie, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
734 W MONROE ST
City
Mexico
ZIP Code
65265-1970
Phone
(573) 642-5345

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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