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1053689471
BARBARA ANN KELLY
STATEN ISLAND, NY
NPI
1053689471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 23789)
Enumeration Date
2011-12-13
Last Update Date
2011-12-13
Business Address
-- BARBARA ANN KELLY CASACT
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
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Mailing Address
-- BARBARA ANN KELLY CASACT
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
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