KELLEY ELLEN STAFFORD

BLOOMINGTON, IN
NPI1780266106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34009263A)
Enumeration Date2021-04-26
Last Update Date2024-02-13
Business Address
KELLEY ELLEN STAFFORD LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
Mailing Address
KELLEY ELLEN STAFFORD LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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