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1013642370
STEPHANIE CHURCH KELLEY
SOUTH JORDAN, UT
NPI
1013642370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 128447186009)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
STEPHANIE CHURCH KELLEY ACMHC
1108 W SOUTH JORDAN PKWY STE B
SOUTH JORDAN, UT 84095-5505
Phone number: 385-215-9084
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Mailing Address
STEPHANIE CHURCH KELLEY ACMHC
1108 W SOUTH JORDAN PKWY STE B
SOUTH JORDAN, UT 84095-5505
Phone number: 385-215-9084
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