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1356797237
KELLIE NICOLE SHOUN
JOHNSON CITY, TN
NPI
1356797237
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Former Name
KELLIE NICOLE CUPP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-10
Last Update Date
2023-01-30
Business Address
MRS. KELLIE NICOLE SHOUN LMSW
LAMONT ST & VETERANS WAY
JOHNSON CITY, TN 37604
Phone number: 423-926-1171
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Mailing Address
MRS. KELLIE NICOLE SHOUN LMSW
35 PINE HILL RD
MAHWAH, NJ 07430-1012
Phone number: 347-439-8414
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