Individual
MS. BRIGITTE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 KINGS ROAD, MADISON, NJ 07940
(732) 672-7957
Mailing address
PO BOX 1105, MADISON, NJ 07940
(732) 672-7957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC04653800
NJ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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