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Individual

BRIAN KELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SOCIAL WORK INTERN

Contact information

Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 827-8959
Mailing address
146 MAIN ST, APT. 1 REAR, SOUTH HADLEY, MA 01075-3058
(413) 827-8959

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/08/2009
Last updated
10/08/2009
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