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NPI Profile for CAROL P GRAY KELLEY in WESTBROOK, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1275638769 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 09/13/2006 | |
| Last updated | 11/09/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CAROL P GRAY KELLEY
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CAROL P GRAY KELLEY, LCPC