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Individual

KELLEY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1563 N MAIN ST, SUITE 202, FALL RIVER, MA 02720-2983
(774) 249-0037
Mailing address
22 CARROLL AVE, NEWPORT, RI 02840-4020

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/20/2010
Last updated
03/20/2010
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