Individual
KELSI JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 MAIN ST, WARE, MA 01082-1480
(413) 250-7196
Mailing address
89 MAIN ST, WARE, MA 01082-1480
(413) 250-7196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S82332852
MA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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