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1114945755
CONNIE C KELLUM
ANDERSON, IN
NPI
1114945755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002455)
Enumeration Date
2006-07-18
Last Update Date
2018-03-16
Business Address
CONNIE C KELLUM LCSW
2210 JACKSON ST
ANDERSON, IN 46016-4363
Phone number: 765-683-3118
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Mailing Address
CONNIE C KELLUM LCSW
10330 N MERIDIAN ST # 300
INDIANAPOLIS, IN 46290-1024
Phone number:
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