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1154666576
ERIC JAMES KELLY
RALEIGH, NC
NPI
1154666576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007238)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
Mr. ERIC JAMES KELLY LCSW
3801 LAKE BOONE TRL SUITE 150
RALEIGH, NC 27607-2934
Phone number: 919-210-2070
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Mailing Address
Mr. ERIC JAMES KELLY LCSW
3801 LAKE BOONE TRL SUITE 150
RALEIGH, NC 27607-2934
Phone number: 919-210-2070
Copy
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