Individual
MRS. KELLIE ANNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.F.T.
Contact information
Practice address
651 FRANKLIN ST, FRAMINGHAM, MA 01702-2919
(508) 620-6086
Mailing address
178 WOODLAND RD, MILTON, MA 02186-3644
(617) 364-5573
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MH 1242-MF
MA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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