| NPI | 1467095604 |
|---|---|
| Doing Business As | KELLEY SGROI LMHC |
| Entity Type | Organization |
| Authorized Contact | KELLEY ANN SGROI Owner 860-256-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |