Individual
MS. MONICA L. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13 RAILROAD SQUARE, SUITE 1, WATERVILLE, ME 04901-5255
(207) 692-6649
(207) 861-7012
Mailing address
13 RAILROAD SQUARE, SUITE 1, WATERVILLE, ME 04901-5255
(207) 692-6649
(207) 861-7012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6507
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821397191
—
ME
Enumeration date
03/25/2011
Last updated
01/30/2017
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