Individual
KELLIE ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
587 E MIDDLE TPKE, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4080
Mailing address
8 SOUTHGATE DR, SOUTH GLASTONBURY, CT 06073-2100
(860) 430-9245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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