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1427507557
KELLY JEANNE DOMINIC
MILLERSVILLE, MD
NPI
1427507557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC3062)
Enumeration Date
2016-09-30
Last Update Date
2022-03-25
Business Address
KELLY JEANNE DOMINIC LCPC
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108-2589
Phone number: 443-386-4928
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Mailing Address
KELLY JEANNE DOMINIC LCPC
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108-2589
Phone number: 443-386-4928
Copy
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