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Organization
KELLI A FOWLE, LICSW LLC
Active
Organization
KELLI A FOWLE, LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI FOWLE LICSW (OWNER)
(978) 998-5663
Entity
Organization
Contact information
Practice address
10A MERRIMAC SQ, MERRIMAC, MA 01860-1920
(978) 998-5663
Mailing address
7 LINCOLN RD, NEWTON, NH 03858-3103
(978) 998-5663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255577805
NPI
—
Enumeration date
05/12/2022
Last updated
03/09/2026
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