Individual
DEIRDRE SUSAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(508) 459-6400
Mailing address
81 HOPE AVE, WORCESTER, MA 01603-2212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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