KELLY M WALLACE

EAST LONGMEADOW, MA
NPI1871225706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
KELLY M WALLACE
41 BIRCHLAND AVE
EAST LONGMEADOW, MA 01028-2411
Phone number: 141-388-7495
Mailing Address
KELLY M WALLACE
41 BIRCHLAND AVE
EAST LONGMEADOW, MA 01028-2411
Phone number: 141-388-7495
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