Individual
MRS. KELLY JC PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
145 FAUNCE CORNER RD STE K, NORTH DARTMOUTH, MA 02747-1263
(774) 206-1125
(774) 628-9657
Mailing address
145 FAUNCE CORNER RD STE K, NORTH DARTMOUTH, MA 02747-1263
(774) 206-1125
(774) 628-9657
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/05/2010
Last updated
07/19/2012
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