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Individual

DR. KELSEY MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 COLLEGE STREET, BOX D, WORCESTER, MA 01610
(508) 793-3363
Mailing address
1 COLLEGE STREET, BOX D, WORCESTER, MA 01610
(508) 793-3363

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10917
NE
103T00000X
Psychologist
Primary
11059
MA
103T00000X
Psychologist
1745
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417401951
NONBILLING
Enumeration date
08/13/2016
Last updated
06/12/2019
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