Individual
BRIANA MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 GROVEDIERE LN, HAMPSTEAD, NC 28443-2208
(910) 431-6418
(910) 270-0270
Mailing address
308 GROVEDIERE LN, HAMPSTEAD, NC 28443-2208
(910) 431-6418
(910) 270-0270
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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