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1083293872
KELLY WENTWORTH
GLOVERSVILLE, NY
NPI
1083293872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-07
Last Update Date
2021-04-11
Business Address
KELLY WENTWORTH
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078-3968
Phone number: 518-725-4310
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Mailing Address
KELLY WENTWORTH
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078-3968
Phone number:
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