KELLEY WILSON

BRADENTON, FL
NPI1104244474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH7200)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
-- KELLEY WILSON
5131 MANATEE AVE W
BRADENTON, FL 34209-3740
Phone number: 941-792-0802
Mailing Address
-- KELLEY WILSON
7406 LOBLOLLY BAY TRL
LAKEWOOD RANCH, FL 34202-4167
Phone number: 941-238-8180
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