Individual
KELLIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEADOWBROOK RD STE B, BROCKTON, MA 02301-7122
(508) 904-2607
Mailing address
19 KING PHILIP RD, NORTON, MA 02766-3021
(781) 408-1108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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