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Individual

KATIE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2435 6TH AVE, TROY, NY 12180-2227
(518) 274-5143
Mailing address
99 PEARL ST, SCHUYLERVILLE, NY 12871-1114

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31355
NY

Other

Enumeration date
02/29/2016
Last updated
03/29/2021
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