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1073874541
ROSS EUGENE KELLEY
FAYETTEVILLE, AR
NPI
1073874541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR P1402021)
Enumeration Date
2012-05-31
Last Update Date
2015-08-07
Business Address
Mr. ROSS EUGENE KELLEY M.S. LPC
65 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2894
Phone number: 479-443-9707
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Mailing Address
Mr. ROSS EUGENE KELLEY M.S. LPC
65 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2894
Phone number: 479-443-9707
Copy
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