Individual
DR. KELLY MICHELLE WAWRZYNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
85 1ST AVE, WALTHAM, MA 02451-1105
(781) 647-7246
Mailing address
14 SMYTHE ST, APT 2, BROOKLINE, MA 02445-7662
(585) 820-4048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9672
MA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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