Individual
ANDREA MANNING KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1 LORING PL, MALDEN, MA 02148-6810
(617) 347-4199
Mailing address
1 LORING PL, MALDEN, MA 02148-6810
(617) 347-4199
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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