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Kelly J Myers, LCSW

Social Worker, Clinical in Melbourne Beach, FL. Individual provider (NPI-1).

NPI number1356830343
StatusActive
Last updated in NPPESMay 4, 2018

Details

NPI
1356830343
Entity type
Individual (NPI-1)
Name
Kelly J Myers
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 4, 2018
Last updated
May 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinicalsw15060FLYes

Practice location

1706 Atlantic St Apt 3b
Melbourne Beach, FL 32951-2342

Phone 321-339-6757

Mailing address

1706 Atlantic St Apt 3b
Melbourne Beach, FL 32951-2342

Phone 321-339-6757

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