| Kelly Kolodziejski Lcsw R | |
|
916 Old Liverpool Rd Ste B Liverpool NY 13088-8536 | |
| (315) 743-4042 | |
| Not Available |
| Full Name | Kelly Kolodziejski Lcsw R |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 916 Old Liverpool Rd Ste B, Liverpool, New York |
| Authorized Official Name and Position | Kelly K Kolodziejski (OWNER) |
| Authorized Official Contact | 3157434042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Kolodziejski Lcsw R 318 Eagles Point Cir Liverpool NY 13090-3332 Ph: (315) 743-4042 | Kelly Kolodziejski Lcsw R 916 Old Liverpool Rd Ste B Liverpool NY 13088-8536 Ph: (315) 743-4042 |
| NPI Number | 1194382127 |
|---|---|
| Provider Enumeration Date | 05/24/2019 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194382127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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