Kelly, Dwight
Kelly, Dwight is an individual health care provider with primary practice located at 215 N Main St , White River Junction VT 05009-1082. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelly, Dwight can be contacted via phone (802) 295-9363.Contact Information
Primary practice address
215 N Main St
White River Junction VT 05009-1082
Phone: (802) 295-9363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1366913485 |
|---|---|
| LBN Legal business name | Kelly, Dwight |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Aug 26th, 2024 - about 2 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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