KELLY LANE

BRENTWOOD, NY
NPI1538525738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
-- KELLY LANE
998 CROOKED HILL RD
BRENTWOOD, NY 11717-1019
Phone number: 631-761-2296
Mailing Address
-- KELLY LANE
998 CROOKED HILL ROAD
BRENTWOOD, NY 11717-1087
Phone number: 631-761-2296
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