Individual
KELLY NICELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 MARCUS GARVEY BLVD APT 4, BROOKLYN, NY 11216-2448
(917) 513-3188
Mailing address
410 MARCUS GARVEY BLVD APT 4, BROOKLYN, NY 11216-2448
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
0014493-1
NY
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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