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1255156196
ERICA LASHA KELLY
GRAND PRAIRIE, TX
NPI
1255156196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-16
Last Update Date
2024-11-16
Business Address
ERICA LASHA KELLY
444 GOTLAND DR
GRAND PRAIRIE, TX 75052-2569
Phone number: 469-504-1328
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Mailing Address
ERICA LASHA KELLY
444 GOTLAND DR
GRAND PRAIRIE, TX 75052-2569
Phone number: 469-504-1328
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