| Kelly Marie Llc | |
|
1011 Hope St Ste R Stamford CT 06907-2121 | |
| (203) 260-9677 | |
| Not Available |
| Full Name | Kelly Marie Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1011 Hope St Ste R, Stamford, Connecticut |
| Authorized Official Name and Position | Kelly Barrett (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2032609677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Marie Llc 1011 Hope St Ste R Stamford CT 06907-2121 Ph: () - | Kelly Marie Llc 1011 Hope St Ste R Stamford CT 06907-2121 Ph: (203) 260-9677 |
| NPI Number | 1366905861 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366905861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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