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Search › Massachusetts › 104100000X

Christian Kelley, LCSW

NPI 1659852291 · on the registry since 2018

Practice

Address
176 Main St
Southbridge, MA 01550
Phone
(508) 980-2005
Organisation at this address
Ivory Dental Pc
South County Therapies Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts