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1245420520
KELLY HOLLOMAN GARDNER
SOUTHAVEN, MS
NPI
1245420520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-08-01
Last Update Date
2013-03-04
Business Address
-- KELLY HOLLOMAN GARDNER LPC
7165 GETWELL RD BLDG G
SOUTHAVEN, MS 38672-9619
Phone number: 662-349-2818
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Mailing Address
-- KELLY HOLLOMAN GARDNER LPC
1070 PERKINS TER
MEMPHIS, TN 38117-5506
Phone number:
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