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1013400019
KELLY NORTH
PHILADELPHIA, PA
NPI
1013400019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC012862)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-06-13
Last Update Date
2020-12-14
Business Address
KELLY NORTH
8220 CASTOR AVE
PHILADELPHIA, PA 19152-2729
Phone number: 215-728-4618
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Mailing Address
KELLY NORTH
8220 CASTOR AVE
PHILADELPHIA, PA 19152-2729
Phone number:
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