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1104246966
KELSEY SELF
CLARKSVILLE, AR
NPI
1104246966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-21
Last Update Date
2014-04-21
Business Address
-- KELSEY SELF
1543 COUNTY ROAD 3350
CLARKSVILLE, AR 72830-8162
Phone number: 479-647-8063
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Mailing Address
-- KELSEY SELF
1543 COUNTY ROAD 3350
CLARKSVILLE, AR 72830-8162
Phone number: 479-647-8063
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