Provider Information for 1992019533
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Ms. ANDREA LINDSAY-KELLEY MSW, MPH, LICSW
Other Names:Professional Name:ANDREA KELLEYSex: Female
NPI: 1992019533
Last Updated: 2018-09-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992019533 | ||||||||||||
| Enumeration Date | 2010-08-05 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 275 CURVE ST BRIDGEWATER, MA 02324-3418 United States Phone: 508-484-5935 | Fax:617-328-1635 | ||||||||||||
| Primary Practice Address | 10 GRANITE ST FL 3 QUINCY, MA 02169-5021 United States Phone: 508-484-5935 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 88 LINCOLN ST | ||||||||||||
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