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Individual

KELLY ANN CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
CHILDREN AND THE LAW PROGRAM, 388 COMMONWEALTH AVE., LOWER LEVEL, BOSTON, MA 02215
(617) 585-7440
Mailing address
CHILDREN AND THE LAW PROGRAM, 388 COMMONWEALTH AVE., LOWER LEVEL, BOSTON, MA 02215
(617) 585-7440

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
9012
MA
103TF0200X
Forensic Psychologist
Primary
9012
MA

Other

Enumeration date
06/04/2007
Last updated
12/03/2009
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