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1194185553
KATIE KELLY
TROY, NY
NPI
1194185553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31355)
Enumeration Date
2016-02-29
Last Update Date
2021-03-29
Business Address
KATIE KELLY
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
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Mailing Address
KATIE KELLY
99 PEARL ST
SCHUYLERVILLE, NY 12871-1114
Phone number:
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