Individual
MS. MARGUERITE ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
94 KING ST, NORTHAMPTON, MA 01060-3284
(413) 695-7084
Mailing address
34 HAROLD ST, FLORENCE, MA 01062-1030
(413) 695-7084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1019735
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P06037
BCBSMA
MA
Enumeration date
01/26/2006
Last updated
07/08/2007
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