Kelley Jo Breidigan, MSW, LISW

NPI #1417390972 in Granville, Ohio

Provider Information

NPI Number: 1417390972
Entity Type: Individual
Name: Kelley Jo Breidigan, MSW, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW, LISW
Enumeration Date: Apr 15, 2013
Last Updated: Jul 17, 2015

Practice Location

Address: 128S MAIN ST
City: Granville
State: Ohio
ZIP Code: 43023-1409
Phone: (614) 561-9867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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