ETHAN A. KELLY

OLD SAYBROOK, CT
NPI1033414313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2011-01-19
Last Update Date2011-04-26
Business Address
Mr. ETHAN A. KELLY MSW
263 MAIN ST
OLD SAYBROOK, CT 06475-2326
Phone number: 860-395-6380
Mailing Address
Mr. ETHAN A. KELLY MSW
263 MAIN ST
OLD SAYBROOK, CT 06475-2326
Phone number: 860-395-6380