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1326400797
JACQUELYN KELLETT
MARRERO, LA
NPI
1326400797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11616)
Enumeration Date
2016-03-24
Last Update Date
2016-05-23
Business Address
-- JACQUELYN KELLETT LCSW
1855 AMES BLVD
MARRERO, LA 70072-3429
Phone number: 504-214-0072
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Mailing Address
-- JACQUELYN KELLETT LCSW
1825 HOPE ST
NEW ORLEANS, LA 70119-1307
Phone number: 504-952-3658
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