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1336891555
JENNIFER KELLNER
CONWAY, SC
NPI
1336891555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
JENNIFER KELLNER ADC
2404 WISE RD
CONWAY, SC 29526-5521
Phone number: 843-365-8884
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Mailing Address
JENNIFER KELLNER ADC
PO BOX 136
CONWAY, SC 29528-0136
Phone number: 843-365-8884
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