Most Relevant Information
Provider Data
| NPI Number: | 1003571464 |
| Provider Name: | TONI KELLY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 7882 |
Most Important Dates
| Enumeration Date: | 11/01/2021 |
| Last Updated: | 11/01/2021 |
Provider Practice Location
1037 E OLD HICKORY BLVD
MADISON
TN
371154160
Practice Location Phone/Fax
| Phone: | 6156252211 |
| Fax: |
Provider Mailing Location
4157 GRAPEVINE LOOP
SMYRNA
TN
371671178
Provider Mailing Phone/Fax
| Phone: | 6155221235 |
| Fax: |