Individual
KELSEY CLAIRE DUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-6465
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P102561
NY
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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