| Holly Kelly Lcsw Llc | |
|
161 East Ave Ste 101 Norwalk CT 06851-5710 | |
| (203) 918-0336 | |
| Not Available |
| Full Name | Holly Kelly Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 161 East Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Holly Wade Kelly (MANAGING PARTNER) |
| Authorized Official Contact | 2039180336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Kelly Lcsw Llc 29 Stony Brook Rd Darien CT 06820-4325 Ph: (203) 918-0336 | Holly Kelly Lcsw Llc 161 East Ave Ste 101 Norwalk CT 06851-5710 Ph: (203) 918-0336 |
| NPI Number | 1992195945 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992195945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008834 (Connecticut) | Primary |
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