Individual
MS. EILEEN PATRICE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
111 EAST AVENUE, SUITE 313, NORWALK, CT 06851
(203) 663-0233
Mailing address
354 OAKWOOD DR, FAIRFIELD, CT 06824-4152
(203) 663-0233
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001269
CT
Other
Enumeration date
04/16/2007
Last updated
10/01/2010
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