Wayland, Kelly Connolly
Wayland, Kelly Connolly is an sole proprietor health care provider with primary practice located at 190 Clifton Bay Loop , Saint Johns FL 32259-9141. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wayland, Kelly Connolly can be contacted via phone (610) 952-6801.Contact Information
Primary practice address
190 Clifton Bay Loop
Saint Johns FL 32259-9141
Phone: (610) 952-6801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17457 | Florida |
Profile Details
| NPI number | 1316546518 |
|---|---|
| LBN Legal business name | Wayland, Kelly Connolly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2020 |
| Last updated | Oct 20th, 2020 - about 4 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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