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1134207269
KELLY L. IRVINE
COLUMBIA, MO
NPI
1134207269
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Former Name
KELLY L. MOYNIHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MO 2018042229)
Enumeration Date
2006-11-02
Last Update Date
2019-08-28
Business Address
Dr. KELLY L. IRVINE PsyD
1000 W NIFONG BLVD BLDG 6
COLUMBIA, MO 65203-5615
Phone number: 888-403-1071
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Mailing Address
Dr. KELLY L. IRVINE PsyD
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-890-8156
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