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1366804742
MARK RYAN KELLY
VICTORIA, TX
NPI
1366804742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 82018)
Enumeration Date
2016-03-24
Last Update Date
2026-01-21
Business Address
MARK RYAN KELLY LPC, LCDC
802 E CRESTWOOD DR
VICTORIA, TX 77901-3309
Phone number: 361-576-4673
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Mailing Address
MARK RYAN KELLY LPC, LCDC
802 E CRESTWOOD DR
VICTORIA, TX 77901-3309
Phone number: 361-576-4673
Copy
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