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1174999635
KELLY O'DONNELL
CHARLOTTE, NC
NPI
1174999635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21515)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- KELLY O'DONNELL
3705 LATROBE DR SUITE 340
CHARLOTTE, NC 28211-4824
Phone number: 704-364-3989
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Mailing Address
-- KELLY O'DONNELL
3705 LATROBE DR SUITE 340
CHARLOTTE, NC 28211-4824
Phone number: 704-364-3989
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