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1225491335
JUSTIN KELLY
MONROE, LA
NPI
1225491335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5670)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- JUSTIN KELLY LPC
7200 DESIARD ST
MONROE, LA 71203-3913
Phone number: 504-220-4811
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Mailing Address
-- JUSTIN KELLY LPC
7200 DESIARD ST
MONROE, LA 71203-3913
Phone number: 504-220-4811
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