PAUL KEVIN KELLY

DIX HILLS, NY
NPI1326670308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  092503)
Enumeration Date2020-02-07
Last Update Date2020-02-07
Business Address
PAUL KEVIN KELLY
151 BURRS LN
DIX HILLS, NY 11746-6052
Phone number: 631-253-3480
Mailing Address
PAUL KEVIN KELLY
210 ATLANTIC AVE
BLUE POINT, NY 11715-1410
Phone number: