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Individual

MARY HELEN KELLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17 WOODPORT RD, SUITE 2D, SPARTA, NJ 07871-2412
(201) 317-4539
Mailing address
17 WOODPORT RD, SUITE 2D, SPARTA, NJ 07871-2412
(201) 317-4539

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00514800
NJ

Other

Enumeration date
03/27/2015
Last updated
05/28/2015
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