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1457031973
KELLY J THOMPSON
ORLANDO, FL
NPI
1457031973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 16177)
Enumeration Date
2023-07-19
Last Update Date
2023-07-24
Business Address
Ms. KELLY J THOMPSON LMHC
7208 W SAND LAKE RD STE 305
ORLANDO, FL 32819-5279
Phone number: 888-853-7908
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Mailing Address
Ms. KELLY J THOMPSON LMHC
7208 W SAND LAKE RD
ORLANDO, FL 32819-5200
Phone number:
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PLASTICITY BRAIN CENTERS OF ORLANDO, LLC