Kelleher, Mary Elizabeth

Kelleher, Mary Elizabeth is an individual health care provider with primary practice located at 58 Old Colony Ave , South Boston MA 02127-2406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelleher, Mary Elizabeth can be contacted via phone (617) 268-1700.

Contact Information

Primary practice address
58 Old Colony Ave South Boston MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105438 Massachusetts

Profile Details

NPI number 1295798114
LBN Legal business name Kelleher, Mary Elizabeth
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 25th, 2014 - about 10 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 1295798114 NPPES
Massachusetts Other KEP23687 SOCIAL WORKER

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