Individual
ALICE Z KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
113 SKY TOP DRIVE, FAIRFIELD, CT 06825
(203) 374-3483
(203) 371-0249
Mailing address
113 SKY TOP DRIVE, FAIRFIELD, CT 06825
(203) 374-3483
(203) 371-0249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002373
CT
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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