KELLY ELIZABETH DERAGON

PROVIDENCE, RI
NPI1346087301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: RI  PS02305)
Enumeration Date2024-07-09
Last Update Date2024-10-10
Business Address
KELLY ELIZABETH DERAGON PSYD
1 RICHMOND SQ
PROVIDENCE, RI 02906-5139
Phone number: 401-309-1844
Mailing Address
KELLY ELIZABETH DERAGON PSYD
1 RICHMOND SQ
PROVIDENCE, RI 02906-5139
Phone number:
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