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1144831058
KELLY WAKELAND
PLAINVILLE, CT
NPI
1144831058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 5296)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
KELLY WAKELAND
91 NORTHWEST DR
PLAINVILLE, CT 06062-1552
Phone number: 951-206-1773
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Mailing Address
KELLY WAKELAND
91 NORTHWEST DR
PLAINVILLE, CT 06062-1552
Phone number: 951-206-1773
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