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Organization
KELLY KOLODZIEJSKI LCSW R
Active
Organization
KELLY KOLODZIEJSKI LCSW R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY K KOLODZIEJSKI LCSW R (OWNER)
(315) 743-4042
Entity
Organization
Contact information
Practice address
916 OLD LIVERPOOL RD STE B, LIVERPOOL, NY 13088-8536
(315) 743-4042
Mailing address
318 EAGLES POINT CIR, LIVERPOOL, NY 13090-3332
(315) 743-4042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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