Kellie A Stafford, LSW

NPI #1508277484 in Owingsville, Kentucky

Provider Information

NPI Number: 1508277484
Entity Type: Individual
Name: Kellie A Stafford, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 14, 2014
Last Updated: Nov 7, 2014

Practice Location

Address: 664 SLATE AVENUE
City: Owingsville
State: Kentucky
ZIP Code: 40360
Phone: (606) 674-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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