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1275807851
KELLY KRISTIN POWELL
NEW HAVEN, CT
NPI
1275807851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
Enumeration Date
2012-02-29
Last Update Date
2012-02-29
Business Address
KELLY KRISTIN POWELL PH.D.
230 S FRONTAGE RD
NEW HAVEN, CT 06519-1124
Phone number: 203-737-6394
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Mailing Address
KELLY KRISTIN POWELL PH.D.
230 S FRONTAGE RD PO BOX 207900
NEW HAVEN, CT 06519-1124
Phone number: 203-737-6394
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