Individual
KELLY THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 NEW SOUTH ST, NORTHAMPTON, MA 01060-4073
(413) 582-0471
(413) 582-1807
Mailing address
17 NEW SOUTH ST, NORTHAMPTON, MA 01060-4073
(413) 582-0471
(413) 582-1807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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