Kelly, Mary
Kelly, Mary is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kelly, Mary can be contacted via phone (440) 204-4100.Contact Information
Primary practice address
6140 S Broadway
Lorain OH 44053-3821
Phone: (440) 204-4100
Fax: (440) 233-9070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S-0028760 | Ohio |
Profile Details
| NPI number | 1841469111 |
|---|---|
| LBN Legal business name | Kelly, Mary |
| Credentials | L.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2008 |
| Last updated | Feb 21st, 2008 - about 17 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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