Individual
ERIN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 PARK AVE, SUITE B, WORCESTER, MA 01603-2537
(774) 823-1500
Mailing address
94 STONELEIGH RD, HOLDEN, MA 01520
(508) 210-0212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
442899
MA
Other
Enumeration date
04/27/2013
Last updated
04/27/2013
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