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1104644285
KELLY L PATRICK
JACKSONVILLE, FL
NPI
1104644285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH4661)
Enumeration Date
2024-09-28
Last Update Date
2024-10-03
Business Address
Ms. KELLY L PATRICK LMHC
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256-6187
Phone number: 646-941-7645
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Mailing Address
Ms. KELLY L PATRICK LMHC
575 OAKS LN APT 506
POMPANO BEACH, FL 33069-5805
Phone number: 954-234-3125
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