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1285389544
KELLY DAE KETTLEWELL
WILLIAMSPORT, PA
NPI
1285389544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: PA PS017216)
Enumeration Date
2022-02-15
Last Update Date
2023-02-08
Business Address
KELLY DAE KETTLEWELL Ph.D.
49 E 4TH ST STE 205
WILLIAMSPORT, PA 17701-6355
Phone number: 570-601-4788
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Mailing Address
KELLY DAE KETTLEWELL Ph.D.
49 E 4TH ST STE 205
WILLIAMSPORT, PA 17701-6355
Phone number: 570-601-4788
Copy
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