Individual
CAROL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4192
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RO26494-1
NY
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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