Individual
MEGAN MAY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
49 VILLAGE CT, HAZLET, NJ 07730-1536
(732) 947-4777
Mailing address
908 LORILLARD AVE, UNION BEACH, NJ 07735-3218
(732) 615-8657
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06823800
NJ
Other
Enumeration date
11/24/2023
Last updated
11/27/2023
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