Constance K. Kellogg, LICSW
NPI #1912115650 in Southwick, Massachusetts
Provider Information
- NPI Number
- 1912115650
- Entity Type
- Individual
- Name
- Constance K. Kellogg, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 377 N LOOMIS ST
- City
- Southwick
- State
- Massachusetts
- ZIP Code
- 01077-9692
- Phone
- (413) 569-3335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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