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Individual

ASHLEY KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
998 CROOKED HILL RD BLDG 5, BRENTWOOD, NY 11717-1019
(631) 907-6944
Mailing address
998 CROOKED HILL RD BLDG 5, BRENTWOOD, NY 11717-1019

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102740-1
NY

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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