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1306434493
KELLIE MARIE JORDAN
JONESBORO, GA
NPI
1306434493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-05
Last Update Date
2021-06-09
Business Address
KELLIE MARIE JORDAN
2806 WOODHOLLOW LN
JONESBORO, GA 30236-2829
Phone number: 404-667-7982
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Mailing Address
KELLIE MARIE JORDAN
2806 WOODHOLLOW LN
JONESBORO, GA 30236-2829
Phone number: 404-667-7982
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