Kellie Ann Kizis, LCSW
Social Worker, Clinical in Tampa, FL. Individual provider (NPI-1).
NPI number1114429024
StatusActive
Last updated in NPPESMar 6, 2018
Details
- NPI
- 1114429024
- Entity type
- Individual (NPI-1)
- Name
- Kellie Ann Kizis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2018
- Last updated
- Mar 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW14696 | FL | Yes |
Practice location
4902 Eisenhower BlvdTampa, FL 33634-6310
Phone 813-290-8560
Mailing address
675 Avenue O SeWinter Haven, FL 33880-4533
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