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Organization

KELLEY GEMMA, LLC DBA OCEAN STATE PSYCHOTHERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY E GEMMA LICSW (PRESIDENT/CLINICAL DIRECTOR)
(401) 268-3886
Entity
Organization

Contact information

Practice address
1130 TEN ROD RD, SUITE F 203, NORTH KINGSTOWN, RI 02852-4161
(401) 268-3886
(401) 268-3887
Mailing address
1130 TEN ROD RD, SUITE F 203, NORTH KINGSTOWN, RI 02852-4161
(401) 268-3886
(401) 268-3887

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW001777
RI

Other

Enumeration date
06/23/2011
Last updated
06/23/2011
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