Individual
KELLY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 ROUTE 28, HARWICH PORT, MA 02646-1931
(508) 905-2856
Mailing address
939 STONY BROOK RD, BREWSTER, MA 02631-2450
(774) 212-4188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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