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1053460931
KELLEY J GANNON
FRANKFORT, KY
NPI
1053460931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: KY 1728)
Enumeration Date
2007-01-09
Last Update Date
2007-07-09
Business Address
-- KELLEY J GANNON LCSW
191 DOCTORS DR
FRANKFORT, KY 40601-4101
Phone number: 859-253-1686
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Mailing Address
-- KELLEY J GANNON LCSW
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686
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