Kelly, Detra
Kelly, Detra is an sole proprietor health care provider with primary practice located at 540 Riverside Dr Ste 8 , Salisbury MD 21801-5352. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelly, Detra can be contacted via phone (410) 548-3333.Contact Information
Primary practice address
540 Riverside Dr Ste 8
Salisbury MD 21801-5352
Phone: (410) 548-3333
Fax: (410) 548-3341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 22747 | Maryland |
Profile Details
| NPI number | 1982245049 |
|---|---|
| LBN Legal business name | Kelly, Detra |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2019 |
| Last updated | Sep 30th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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