Individual
MICHAEL S KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 YORK ST STE 4, GUILFORD, CT 06437-2473
(203) 453-2220
Mailing address
34 YORK ST STE 4, GUILFORD, CT 06437-2473
(203) 453-2220
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2313
CT
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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