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1497119556
KELLY R JOHNSON
ORLANDO, FL
NPI
1497119556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: FL MH 12142)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- KELLY R JOHNSON LMHC
4098 LIBRA DR
ORLANDO, FL 32816-3333
Phone number: 407-823-2924
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Mailing Address
-- KELLY R JOHNSON LMHC
PO BOX 163333
ORLANDO, FL 32816-3333
Phone number: 407-823-2924
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