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Individual

KELLIANNE CREIGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 CABOT BLVD STE 227, MANSFIELD, MA 02048-1183
(508) 589-5333
Mailing address
301 POPLAR ST APT 1, ROSLINDALE, MA 02131-3665
(978) 804-2763

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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