| Kelly Redkoles, Lcsw, Llc | |
|
68 Paulsboro Rd Swedesboro NJ 08085-1364 | |
| (856) 889-5902 | |
| (856) 889-5902 |
| Full Name | Kelly Redkoles, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 68 Paulsboro Rd, Swedesboro, New Jersey |
| Authorized Official Name and Position | Kelly Redkoles (THERAPIST/MANAGER/PRESIDENT) |
| Authorized Official Contact | 8568895902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Redkoles, Lcsw, Llc 119 Wheatley Blvd Mullica Hill NJ 08062-9605 Ph: (856) 889-5902 | Kelly Redkoles, Lcsw, Llc 68 Paulsboro Rd Swedesboro NJ 08085-1364 Ph: (856) 889-5902 |
| NPI Number | 1861822306 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861822306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05386600 (New Jersey) | Primary |
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