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1043555725
KELLYE HUTTON SLAGGERT
CORNELIUS, NC
NPI
1043555725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC 9122)
Enumeration Date
2012-12-06
Last Update Date
2019-04-17
Business Address
KELLYE HUTTON SLAGGERT
18047 W CATAWBA AVE STE 203
CORNELIUS, NC 28031-5688
Phone number: 704-608-6812
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Mailing Address
KELLYE HUTTON SLAGGERT
169 KINGS CROSS LN
MOORESVILLE, NC 28117-5906
Phone number: 704-608-6812
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