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1508109083
SHANNON KELLY
CAMBRIDGE, MA
NPI
1508109083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 111493)
Enumeration Date
2013-04-03
Last Update Date
2013-04-03
Business Address
Ms. SHANNON KELLY LICSW, CPCC
875 MASSACHUSETTS AVE #61
CAMBRIDGE, MA 02139-3067
Phone number: 617-642-2371
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Mailing Address
Ms. SHANNON KELLY LICSW, CPCC
14 CENTRE ST #6
CAMBRIDGE, MA 02139-2113
Phone number: 617-642-2371
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