Individual
MRS. ELISABETH GRACE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, LMFT-A
Contact information
Practice address
66 FORTY ACRE MOUNTAIN RD, DANBURY, CT 06811-3353
(203) 240-0385
Mailing address
66 FORTY ACRE MOUNTAIN RD, DANBURY, CT 06811-3353
(203) 240-0385
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3224
CT
Other
Enumeration date
08/28/2023
Last updated
08/30/2023
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