Individual
EMMALYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 NEW JERSEY 168, 104, TURNERSVILLE, NJ 08012
(856) 677-8535
Mailing address
860 NEW JERSEY 168, 104, TURNERSVILLE, NJ 08012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00609400
NJ
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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