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Individual
DR. LAURENCE MERRILL KELLY JR.
Active
Individual
DR. LAURENCE MERRILL KELLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YS0200X
School Counselor
—
NH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
9422
MA
Other
Enumeration date
01/24/2007
Last updated
09/28/2011
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