KELLIE NICOLE SHOUN

JOHNSON CITY, TN
NPI1356797237
Former NameKELLIE NICOLE CUPP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-05-10
Last Update Date2023-01-30
Business Address
Mrs. KELLIE NICOLE SHOUN LMSW
LAMONT ST & VETERANS WAY
JOHNSON CITY, TN 37604
Phone number: 423-926-1171
Mailing Address
Mrs. KELLIE NICOLE SHOUN LMSW
35 PINE HILL RD
MAHWAH, NJ 07430-1012
Phone number: 347-439-8414
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