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1134417132
KELLY CARL FELLER
BOUNTIFUL, UT
NPI
1134417132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7057775-3501)
Enumeration Date
2011-07-12
Last Update Date
2011-07-14
Business Address
Dr. KELLY CARL FELLER PhD, LCSW
537 W 2600 S SUITE 203
BOUNTIFUL, UT 84010-7779
Phone number: 801-809-1049
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Mailing Address
Dr. KELLY CARL FELLER PhD, LCSW
1048 E FAIRWAY DR
NORTH SALT LAKE, UT 84054-3056
Phone number: 801-809-1049
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