Individual
CAITLIN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 FARDALE AVE, MAHWAH, NJ 07430-2926
(862) 414-0675
Mailing address
87 FARDALE AVE, MAHWAH, NJ 07430-2926
(862) 414-0675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05661400
NJ
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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