Individual
KELLY CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 KONDAZIAN ST, WATERTOWN, MA 02472-2830
(617) 584-7094
Mailing address
51 KONDAZIAN ST, WATERTOWN, MA 02472-2830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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