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1033273560
J. KELLIE YOUNG EVANS
PORTSMOUTH, VA
NPI
1033273560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 904002696)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- J. KELLIE YOUNG EVANS LCSW,CSTOP
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707-3912
Phone number: 757-397-2121
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Mailing Address
-- J. KELLIE YOUNG EVANS LCSW,CSTOP
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707-3912
Phone number: 757-397-2121
Copy
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