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Individual

DR. WILLIAM DANIEL KELLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., PH.D.

Contact information

Practice address
120 MERCHANTS ROW, RUTLAND, VT 05701-5911
(802) 775-8080
Mailing address
120 MERCHANTS ROW, RUTLAND, VT 05701
(802) 775-8080

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000626
VT

Other

Enumeration date
07/14/2009
Last updated
07/14/2009
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