Individual
KELLIE MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-2450
Mailing address
55 WEATHERLY DR, SALEM, MA 01970-6633
(860) 712-2028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1140206
MA
Other
Enumeration date
01/27/2025
Last updated
07/26/2025
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