Lisa Kelly
Social Worker, Clinical in Brattleboro, VT. Individual provider (NPI-1).
NPI number1982154183
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1982154183
- Entity type
- Individual (NPI-1)
- Name
- Lisa Kelly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2016
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089.0099299 | VT | Yes |
Practice location
1 Anna Marsh LaneBrattleboro, VT 05301
Phone 800-738-7328
Mailing address
Po Box 803Brattleboro, VT 05302-0803
Phone 802-258-3753
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