Individual
ASHLEY LAUREN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3133
(508) 580-4691
Mailing address
103 COMMERCIAL ST, BROCKTON, MA 02302-3133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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