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1063784817
KELLY S DRIVER
ORLANDO, FL
NPI
1063784817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL PMH1018)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
-- KELLY S DRIVER M.S., PMH
8301 E COLONIAL DR
ORLANDO, FL 32817-3909
Phone number: 407-249-6560
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Mailing Address
-- KELLY S DRIVER M.S., PMH
3351 MISSION BAY BLVD APT 218
ORLANDO, FL 32817-5107
Phone number: 205-566-3234
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WELLNESS CLINIQUE, LLC