Individual
MS. KELLI MARIE JENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 643-3590
Mailing address
92 DEER RUN, OSSINING, NY 10562-2546
(914) 462-7105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111239
NY
104100000X
Social Worker
Primary
LCSW227376
MA
Other
Enumeration date
01/11/2021
Last updated
09/13/2024
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