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Organization
KELLEY GEMMA, LLC
Active
Organization
KELLEY GEMMA, LLC
Active
Other names
Ocean State Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY ELIZABETH GEMMA LICSW (CLINICAL DIRECTOR)
(401) 268-3886
Entity
Organization
Contact information
Practice address
1130 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4161
(401) 268-3886
Mailing address
1130 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4161
(401) 268-3886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01777
RI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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