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Individual

MS. ERIN E KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20468 COASTAL HWY, SUITE 101, REHOBOTH BEACH, DE 19971-8030
(302) 227-1320
Mailing address
20468 COASTAL HWY, SUITE 101, REHOBOTH BEACH, DE 19971-8030
(302) 227-1320

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7953
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165652980
DE
Enumeration date
02/22/2012
Last updated
02/22/2012
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