ALEXIS CATHERINE KELLY

SCRANTON, PA
NPI1306129960
Former NameALEXIS CATHERINE AMES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW018969)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-09-21
Last Update Date2017-01-04
Business Address
-- ALEXIS CATHERINE KELLY MSW, LCSW
1509 N MAIN AVE
SCRANTON, PA 18508-1866
Phone number: 570-407-3869
Mailing Address
-- ALEXIS CATHERINE KELLY MSW, LCSW
171 KRAKY RD
SCOTT TOWNSHIP, PA 18447-7657
Phone number: 570-407-3869