MRS. Angela K Kelly, LCSW

NPI #1497015143 in Montpelier, Idaho

Provider Information

NPI Number: 1497015143
Entity Type: Individual
Name: MRS. Angela K Kelly, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 28, 2012
Last Updated: Aug 5, 2016

Practice Location

Address: 822 WASHINGTON ST
City: Montpelier
State: Idaho
ZIP Code: 83254-1423
Phone: (208) 847-4464

Specialties & Taxonomy Codes

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

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