Individual
MS. KELLY SUTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,
Contact information
Practice address
37 KINGS RD, SUITE 205, MADISON, NJ 07940-2500
(973) 224-2574
Mailing address
7 FENWICK RD, WHIPPANY, NJ 07981-2302
(973) 224-2574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00402700
NJ
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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