Katherine Kelly, MA

NPI #1154601938 in Medford, Massachusetts

Provider Information

NPI Number: 1154601938
Entity Type: Individual
Name: Katherine Kelly, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Aug 24, 2011
Last Updated: Aug 24, 2011

Practice Location

Address: 151 MYSTIC AVE
Address 2: SUITE SIX
City: Medford
State: Massachusetts
ZIP Code: 02155-4632
Phone: (781) 396-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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