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Individual

KELLY ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
491 MAIN ST, ATHOL, MA 01331-1846
(978) 249-9490
(978) 249-9514
Mailing address
12 CAROLINE ST, APT. 3, WORCESTER, MA 01604-3810
(508) 713-7176

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/21/2010
Last updated
10/21/2010
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Product
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  • EDI platform