Individual
MRS. KELLY ANNE DESJARDINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
126 PHOENIX AVE, LOWELL, MA 01852-4931
(978) 513-2399
Mailing address
293 WENTWORTH AVE, LOWELL, MA 01852-3818
(978) 807-8424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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