Individual
ALYSSA ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 PARAMOUNT DR UNIT 102, RAYNHAM, MA 02767-1066
(508) 324-5525
Mailing address
129 BRITTON AVE, STOUGHTON, MA 02072-2502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228331
ASWB
MA
Enumeration date
10/10/2022
Last updated
10/10/2022
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