GWYNETTH E KELLY

PHOENIX, AZ
NPI1689732786
Former NameGWYNETTH E FREDERICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-15492)
Enumeration Date2006-12-04
Last Update Date2021-08-06
Business Address
Dr. GWYNETTH E KELLY DBH
15600 N BLACK CANYON HWY # C103
PHOENIX, AZ 85053-4055
Phone number: 602-320-7925
Mailing Address
Dr. GWYNETTH E KELLY DBH
PO BOX 86881
PHOENIX, AZ 85080-6881
Phone number: 602-320-7925
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