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1477214575
CARLA JEAN KELLY
PORTAGE, MI
NPI
1477214575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MI 6401004965)
Enumeration Date
2022-01-02
Last Update Date
2022-01-02
Business Address
CARLA JEAN KELLY LPC, LLPC
800 E MILHAM AVE
PORTAGE, MI 49002-1490
Phone number: 269-249-7179
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Mailing Address
CARLA JEAN KELLY LPC, LLPC
6752 PLEASANTVIEW DR
PORTAGE, MI 49024-1004
Phone number: 269-352-1857
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