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1013741396
ERIC G KELLY
JACKSON, MI
NPI
1013741396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI 6851118862)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
ERIC G KELLY LLMSW
6692 SPRING ARBOR RD
JACKSON, MI 49201-9812
Phone number: 517-750-3869
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Mailing Address
ERIC G KELLY LLMSW
6692 SPRING ARBOR RD
JACKSON, MI 49201-9812
Phone number: 517-750-3869
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