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1306123104
KELLY MARIE ELEN
OSWEGO, NY
NPI
1306123104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18P78740)
Enumeration Date
2011-11-08
Last Update Date
2013-12-06
Business Address
Ms. KELLY MARIE ELEN LMHC
56 W 3RD ST
OSWEGO, NY 13126-1522
Phone number: 315-342-6063
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Mailing Address
Ms. KELLY MARIE ELEN LMHC
288 WOOLSON RD
OSWEGO, NY 13126-6294
Phone number: 315-342-6063
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