| Marnie Kelly-crook, Inc. | |
|
54 Evergreen Rd Natick MA 01760-1636 | |
| (508) 667-3133 | |
| Not Available |
| Full Name | Marnie Kelly-crook, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 54 Evergreen Rd, Natick, Massachusetts |
| Authorized Official Name and Position | Marnie M Kelly-crook (PRESIDENT) |
| Authorized Official Contact | 5086673133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marnie Kelly-crook, Inc. 54 Evergreen Rd Natick MA 01760-1636 Ph: (508) 667-3133 | Marnie Kelly-crook, Inc. 54 Evergreen Rd Natick MA 01760-1636 Ph: (508) 667-3133 |
| NPI Number | 1033359864 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 03/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359864 | NPI | - | NPPES |
| 1265506976 | Other | MA | INDIVIDUAL NPI# |
| 1851403 | Medicaid | MA | |
| P21840 | Other | MA | MEDICARE PROVIDER# |
| 1031867 | Other | MA | LICSW - LICENSE# |
| P07585 | Other | MA | BLUE CROSS / BLUE SHIELD OF MASSACHUSETTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1031867 (Massachusetts) | Primary |
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