Brian Kellen, SOCIAL WORK INTERN

NPI #1013242007 in Springfield, Massachusetts

Provider Information

NPI Number: 1013242007
Entity Type: Individual
Name: Brian Kellen, SOCIAL WORK INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: SOCIAL WORK INTERN
Enumeration Date: Oct 8, 2009
Last Updated: Oct 8, 2009

Practice Location

Address: 511 E COLUMBUS AVE
City: Springfield
State: Massachusetts
ZIP Code: 01105-2506
Phone: (413) 827-8959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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