Individual
CHRISTIAN PATRICK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
176 MAIN ST, SOUTHBRIDGE, MA 01550-2561
(508) 980-2005
Mailing address
10 MECHANIC ST STE 302, WORCESTER, MA 01608-2419
(508) 792-5400
(508) 831-0074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223799
MA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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