Individual
ALICIA KELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13339 245TH ST, ROSEDALE, NY 11422-1440
(718) 916-8172
Mailing address
13339 245TH ST, ROSEDALE, NY 11422-1440
(718) 916-8172
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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