Individual
KELLY KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 US ROUTE 130, CINNAMINSON, NJ 08077
(609) 933-7044
Mailing address
101 US ROUTE 130, CINNAMINSON, NJ 08077
(609) 933-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
101970104
NJ
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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