Organization
HOLLY KELLY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY WADE KELLY LCSW (MANAGING PARTNER)
(203) 918-0336
Entity
Organization
Contact information
Practice address
161 EAST AVE, STE 101, NORWALK, CT 06851-5710
(203) 918-0336
Mailing address
29 STONY BROOK RD, DARIEN, CT 06820-4325
(203) 918-0336
(203) 621-3195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008834
CT
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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