Individual
JESSICA ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 CAMP ST, HYANNIS, MA 02601-3008
(508) 815-5366
Mailing address
116 CAMP ST, HYANNIS, MA 02601-3008
(508) 815-5366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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