DEIDRA KELLY

BROOKLYN, MD
NPI1770151136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC2833)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
Ms. DEIDRA KELLY CAC
112 E PATAPSCO AVE
BROOKLYN, MD 21225-1745
Phone number: 667-260-2595
Mailing Address
Ms. DEIDRA KELLY CAC
723 STAFFORD HILL DR
GLEN BURNIE, MD 21061-4879
Phone number: 410-967-9131