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Individual

CONSTANCE K. KELLOGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
377 N LOOMIS ST, SOUTHWICK, MA 01077-9692
(413) 569-3335
Mailing address
377 N LOOMIS ST, SOUTHWICK, MA 01077-9692
(413) 569-3335

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103858
MA

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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