Individual
KELLY ELIZABETH SHEEHAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 DUNNS MILL RD STE 145, BORDENTOWN, NJ 08505-4748
(877) 315-8080
Mailing address
3 CLIFFORD LN, MARLTON, NJ 08053-4723
(609) 413-0571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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