Provider Demographics
NPI:1184732513
Name:KELLY-STROMAN, LINDIA JEAN (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:LINDIA
Middle Name:JEAN
Last Name:KELLY-STROMAN
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:MS
Other - First Name:LINDIA
Other - Middle Name:JEAN
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:FRIEDBERG HEALTH CLINIC
Mailing Address - Street 2:CMR 453
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09074
Mailing Address - Country:DE
Mailing Address - Phone:490603-181-3204
Mailing Address - Fax:490603-181-3161
Practice Address - Street 1:ATTN: CREDENTIALS OFFICE
Practice Address - Street 2:CMR 442
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09042
Practice Address - Country:DE
Practice Address - Phone:49622-117-2274
Practice Address - Fax:49622-117-2941
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801077599/17456231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical