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Brian Kellen, SOCIAL WORK INTERN

Social Worker in Springfield, MA. Individual provider (NPI-1).

NPI number1013242007
StatusActive
Last updated in NPPESOct 8, 2009

Details

NPI
1013242007
Entity type
Individual (NPI-1)
Name
Brian Kellen
Credential
SOCIAL WORK INTERN
Sex
Male
Sole proprietor
No
Enumeration date
Oct 8, 2009
Last updated
Oct 8, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

511 E Columbus Ave
Springfield, MA 01105-2506

Phone 413-827-8959

Mailing address

146 Main St
Apt. 1 Rear
South Hadley, MA 01075-3058

Phone 413-827-8959

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