MS. KELLY EZICKSON, LICSW

Social Worker

Active Individual
NPI: 1043284839

Practice Address

29 COTTAGE AVE SUITE 11
Quincy, MA 02169

Phone: (617) 472-9838

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 1020756 (MA)

Frequently Asked Questions

NPI 1043284839 is the National Provider Identifier for MS. KELLY EZICKSON, LICSW, a Social Worker provider located in Quincy, MA. This NPI was enumerated on February 16, 2006.
MS. KELLY EZICKSON, LICSW practices at 29 COTTAGE AVE SUITE 11, Quincy, MA 02169.

Quick Facts

NPI
1043284839
Type
Individual
Enumerated
Feb 16, 2006
Last Updated
Jul 9, 2007

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