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1285212159
KENNETH D KELLY
COLUMBIA, SC
NPI
1285212159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 7756)
Enumeration Date
2021-03-31
Last Update Date
2022-08-12
Business Address
KENNETH D KELLY MA, LPC
2309 DEVINE ST
COLUMBIA, SC 29205-2422
Phone number: 803-250-1947
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Mailing Address
KENNETH D KELLY MA, LPC
2309 DEVINE ST
COLUMBIA, SC 29205-2422
Phone number: 803-250-1947
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