Individual
MS. KELLY LYNN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
80 FERRY BLVD, STRATFORD, CT 06615-6079
(203) 378-1654
Mailing address
768 DERBY AVE, ORANGE, CT 06477-1008
(203) 982-6882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006751
CT
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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