KELLI L LIECHTY

SOUTH BEND, IN
NPI1689861809
Former NameKELLI L KOI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
Enumeration Date2007-10-02
Last Update Date2020-10-06
Business Address
KELLI L LIECHTY LCSW
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
KELLI L LIECHTY LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-533-1234