SHELLY KELLER, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1063642700
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 2009014918 (MO) |
Frequently Asked Questions
NPI 1063642700 is the National Provider Identifier for SHELLY KELLER, LCSW, a Social Worker - Clinical provider located in Lake Winnebago, MO. This NPI was enumerated on July 15, 2009.
SHELLY KELLER, LCSW practices at 120 CHEROKEE LN, Lake Winnebago, MO 64034.
Quick Facts
- NPI
- 1063642700
- Type
- Individual
- Enumerated
- Jul 15, 2009
- Last Updated
- Jul 15, 2009
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