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1619980992
GINNY LYNN KELLY
LAKEVILLE, MA
NPI
1619980992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1028860)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
-- GINNY LYNN KELLY LICSW
104 CHARLES ELDRIDGE DR
LAKEVILLE, MA 02347
Phone number: 508-947-1683
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Mailing Address
-- GINNY LYNN KELLY LICSW
104 CHARLES ELDRIDGE DR
LAKEVILLE, MA 02347
Phone number: 508-947-1683
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