MICHELE KELLY

BLACKFOOT, ID
NPI1033541933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-30317)
Enumeration Date2013-08-01
Last Update Date2014-04-16
Business Address
-- MICHELE KELLY LCSW
295 CENTENNIAL STREET
BLACKFOOT, ID 83221-2700
Phone number: 208-680-4086
Mailing Address
-- MICHELE KELLY LCSW
295 CENTENNIAL ST
BLACKFOOT, ID 83221-3963
Phone number: 208-680-4086
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