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1174133094
KELLY BLANTON
RALEIGH, NC
NPI
1174133094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014569)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
KELLY BLANTON
5171 GLENWOOD AVE STE 211
RALEIGH, NC 27612-3266
Phone number: 919-783-8898
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Mailing Address
KELLY BLANTON
5171 GLENWOOD AVE STE 211
RALEIGH, NC 27612-3266
Phone number:
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