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1043386246
SUSAN KELLY
PITTSFIELD, MA
NPI
1043386246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 111523)
Enumeration Date
2006-11-28
Last Update Date
2007-07-09
Business Address
-- SUSAN KELLY LICSW
42 WENDELL AVENUE
PITTSFIELD, MA 01201
Phone number: 413-281-8984
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Mailing Address
-- SUSAN KELLY LICSW
509 PECKS RD
PITTSFIELD, MA 01201-1339
Phone number: 413-281-8984
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