MS. Kelli M Chan, ICSW
NPI #1598056152 in Ridgeley, West Virginia
Provider Information
- NPI Number
- 1598056152
- Entity Type
- Individual
- Name
- MS. Kelli M Chan, ICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- ICSW
- Enumeration Date
- Apr 29, 2011
- Last Updated
- Apr 29, 2011
Practice Location
- Address
- 113 QUAIL RIDGE LN
- City
- Ridgeley
- State
- West Virginia
- ZIP Code
- 26753-5200
- Phone
- (301) 268-1699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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