Individual
KERRI KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
146 W RIVER ST, SUITE 11-A, PROVIDENCE, RI 02904-2609
(401) 793-8770
(401) 793-8709
Mailing address
146 W RIVER ST, SUITE 11-A, PROVIDENCE, RI 02904-2609
(401) 793-8770
(401) 793-8709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02204
RI
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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