Individual
MS. ADRIENNE J. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
629 STANDISH RD, TEANECK, NJ 07666-1817
(201) 692-1180
(201) 692-1190
Mailing address
629 STANDISH RD, TEANECK, NJ 07666-1817
(201) 692-1180
(201) 692-1190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00020900
NJ
Other
Enumeration date
06/16/2006
Last updated
07/09/2007
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