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1174969539
LAUREN KELLY
TROY, NY
NPI
1174969539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
-- LAUREN KELLY CASAC-t
1724 5TH AVE
TROY, NY 12180-3320
Phone number: 518-272-3918
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Mailing Address
-- LAUREN KELLY CASAC-t
1724 5TH AVE
TROY, NY 12180-3320
Phone number:
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