DANIEL CLARK KELLY

PARMA, OH
NPI1386120541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.167521)
Enumeration Date2018-07-11
Last Update Date2018-07-11
Business Address
DANIEL CLARK KELLY CDCA
6753 STATE RD
PARMA, OH 44134-4517
Phone number: 440-843-5584
Mailing Address
DANIEL CLARK KELLY CDCA
6753 STATE RD
PARMA, OH 44134-4517
Phone number:
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