Kelly Companies, LLC

NPI #1487310074 in Donnelly, Idaho

Provider Information

NPI Number: 1487310074
Entity Type: Organization
Organization Name: Kelly Companies, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KELLY COMPANIES, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 9, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 13019 PONDEROSA DR
City: Donnelly
State: Idaho
ZIP Code: 83615
Phone: (208) 880-8727

Authorized Official

Name: MRS. JAMIE TISA COFFEY-KELLY, LCSW
Title: PRESIDENT/CEO
Phone: (208) 880-8727

Specialties & Taxonomy Codes

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

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