Individual
MRS. CYNTHIA CARR KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
12000 LINCOLN DR W, BLDG. 4, SUITE 407, MARLTON, NJ 08053-3402
(856) 810-0264
Mailing address
117 PEACH RD, MARLTON, NJ 08053-7028
(856) 768-0357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00080100
NJ
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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