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Kelli A Fowle, Licsw Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Danvers, Massachusetts
NPI 1861138778

Kelli A Fowle, Licsw Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Newton, MA and is specialized in Mental Health (Including Community Mental Health Center). Kelli A Fowle, Licsw Llc practices in Danvers, MA. The NPI Number for Kelli A Fowle, Licsw Llc is 1861138778 and holds a License No. (Massachusetts).

The current practice location address for Kelli A Fowle, Licsw Llc is 230 Independence Way, Danvers, MA and can be reached out via phone at 978-998-5663.

Location: 230 Independence Way, Danvers, MA, 03858-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861138778
Provider Name
Kelli A Fowle, Licsw Llc
Credential
Provider Entity Type
Organization
Address
230 Independence Way, Danvers, MA, 03858-3103
Phone Number
978-998-5663
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255577805 01 NPI
institution
Provider Business Practice Location Address Details
Address
230 Independence Way
City
Danvers
State
Massachusetts
Zip
01923-3692
Phone Number
978-998-5663
Fax Number
person
Provider Business Mailing Address Details
Address
230 Independence Way
City
Danvers
State
Massachusetts
Zip
01923-3692
Phone Number
978-998-5663
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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