Individual
CALLY MARY LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
16 BLOSSOM ST, R101, BOSTON, MA 02114-3104
(617) 643-6409
(617) 248-0070
Mailing address
16 BLOSSOM ST, R101, BOSTON, MA 02114-3104
(617) 643-6409
(617) 248-0070
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
274284
MA
Other
Enumeration date
10/31/2008
Last updated
07/05/2011
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