NICOLE KELLEY, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1659473437
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149011400 (IL) |
Frequently Asked Questions
NPI 1659473437 is the National Provider Identifier for NICOLE KELLEY, LCSW, a Social Worker - Clinical provider located in Normal, IL. This NPI was enumerated on September 2, 2006.
NICOLE KELLEY, LCSW practices at 112 BOEYKENS PL, SUITE 4A, Normal, IL 61761.
Quick Facts
- NPI
- 1659473437
- Type
- Individual
- Enumerated
- Sep 2, 2006
- Last Updated
- Mar 30, 2017
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