Kelley, Mary Morris

Kelley, Mary Morris is an individual health care provider with primary practice located at 384 County St The Gilbert Russell House, 2Nd Fl, New Bedford MA 02740-4980. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelley, Mary Morris can be contacted via phone (508) 996-5418.

Contact Information

Primary practice address
384 County St The Gilbert Russell House, 2Nd Fl New Bedford MA 02740-4980
Phone: (508) 996-5418
Fax: (508) 996-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110374 Massachusetts

Profile Details

NPI number 1861474066
LBN Legal business name Kelley, Mary Morris
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861474066 NPPES
Massachusetts Other 2182448 CIGNA
Massachusetts Other 460410 CIGNA
Massachusetts Other PO8093 CIGNA
Massachusetts Other 26547-0 CIGNA
Massachusetts Other 410491 CIGNA

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