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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KELLY JAY POOLE, LCSW

Active

Clinical Social Worker · RANDLEMAN, NC

Registration Details

NPI Number
1760419725
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (19.86074975895 yrs)
Last Updated
Jul 8, 2007
License
C001120 (NC)

Practice Information

Address
4270 HEATH DAIRY RD
RANDLEMAN, NC, 273177489
Browse NC providers · Browse ZIP 27317
Phone
3364952700
Fax
3364955552
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in RANDLEMAN, NC

Name Credential NPI
MS. GRETA LOIS MCCULLOM HAWTHORNE CMSW 1063441350
MR. CARTER LEE SHOTWELL LCSW-A 1902212723
WYSHEKA GLOVER LCSWA 1396363859
TIFFANY PERRIGO 1699593251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.