Individual
MS. KELLY MARIE KELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
889 W MAIN ST UNIT C, CENTERVILLE, MA 02632-3067
(339) 788-1826
Mailing address
145 CROSS ST, HANOVER, MA 02339-2664
(339) 788-1826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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