Kisha Darlene Kelly, LCSW
Social Worker, Clinical in Union City, TN. Individual provider (NPI-1).
NPI number1467006304
StatusActive
Last updated in NPPESJul 29, 2019
Details
- NPI
- 1467006304
- Entity type
- Individual (NPI-1)
- Name
- Kisha Darlene Kelly
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2019
- Last updated
- Jul 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6948 | TN | Yes |
Practice location
108 S 1st StUnion City, TN 38261-3802
Phone 731-335-6655
Mailing address
Po Box 511Union City, TN 38281-0511
Phone 731-335-6655
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