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Individual

KELLY POOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
11 PATERSON AVE, MIDLAND PARK, NJ 07432-1829
(201) 213-8212
Mailing address
11 PATERSON AVE, MIDLAND PARK, NJ 07432-1829
(201) 213-8212

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010737
NY
106H00000X
Marriage & Family Therapist
Primary
37PC00890200
NJ

Other

Enumeration date
10/06/2020
Last updated
10/27/2024
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