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1386055168
KELLY LARSON
LOUISVILLE, KY
NPI
1386055168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
-- KELLY LARSON BSW
6809 BEBE CT.
LOUISVILLE, KY 40219
Phone number: 502-381-2137
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Mailing Address
-- KELLY LARSON BSW
6809 BEBE CT
LOUISVILLE, KY 40219-2501
Phone number: 502-381-2137
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