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1174715973
SHANAE KELLEY
INDIANAPOLIS, IN
NPI
1174715973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009041A)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-08-15
Last Update Date
2023-06-24
Business Address
SHANAE KELLEY
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205-3718
Phone number: 317-920-5900
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Mailing Address
SHANAE KELLEY
11186 KNIGHTSBRIDGE LN
FISHERS, IN 46037-9299
Phone number: 317-457-6186
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