MS. Kelli D Canada, LCSW

NPI #1336664705 in Mattoon, Illinois

Provider Information

NPI Number: 1336664705
Entity Type: Individual
Name: MS. Kelli D Canada, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 7, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 911 REMINGTON RD STE B
City: Mattoon
State: Illinois
ZIP Code: 61938-4210
Phone: (217) 234-3091

Specialties & Taxonomy Codes

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

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