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1053494898
TERRY KELLY
FAIRBANKS, AK
NPI
1053494898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 488)
Enumeration Date
2006-10-23
Last Update Date
2012-06-27
Business Address
-- TERRY KELLY LPC
1716 UNIVERSITY AVE S
FAIRBANKS, AK 99709-4904
Phone number: 907-322-6940
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Mailing Address
-- TERRY KELLY LPC
PO BOX 80282
FAIRBANKS, AK 99708-0282
Phone number: 907-322-6940
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