Susan Dale Kelly, MSW, LCADC, LCSW
NPI #1770956617 in Spring Lake, New Jersey
Provider Information
- NPI Number
- 1770956617
- Entity Type
- Individual
- Name
- Susan Dale Kelly, MSW, LCADC, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- MSW, LCADC, LCSW
- Enumeration Date
- Oct 31, 2015
- Last Updated
- Nov 30, 2018
Practice Location
- Address
- 524 BRIGHTON AVE
- City
- Spring Lake
- State
- New Jersey
- ZIP Code
- 07762-1561
- Phone
- (732) 684-8763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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