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Individual

MS. MARY CATHERINE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, RN

Contact information

Practice address
33 COLLEGE HILL RD STE 29C, WARWICK, RI 02886
(401) 822-4673
(401) 822-4676
Mailing address
33 COLLEGE HILL RD STE 29C, WARWICK, RI 02886-2775
(401) 822-4673
(401) 822-4676

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00450
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MHC00450
STATE LICENSE
RI
Enumeration date
12/04/2009
Last updated
10/05/2021
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