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
Fax: (440) 233-9070
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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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