Individual
PATRICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HAWTHORNE DR, LIVINGSTON, NJ 07039-1227
(973) 477-9071
Mailing address
19 LAWRENCE DR, HACKETTSTOWN, NJ 07840-2509
(973) 945-1846
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C707154
CM&F GROUP
—
Enumeration date
11/01/2021
Last updated
11/01/2021
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