| NPI | 1659636587 |
|---|---|
| Other Name | KELLY MARIE LENNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS27164) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW 113164) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2013-08-22 |