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Individual
MS. MARY MORRIS KELLEY
Active
Individual
MS. MARY MORRIS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110374
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2182448
CIGNA
MA
01
—
26547-0
BC/BS OF RHODE ISLAND
RI
01
—
410491
OTHER RI BC/BS PLANS
RI
01
—
460410
TUFTS HEALTH PLAN
MA
01
—
PO8093
BC/BS OF MASSACHUSETTS
MA
Enumeration date
11/15/2005
Last updated
07/13/2026
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