KELLY DETHERAGE

ORLANDO, FL
NPI1497167845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-05-20
Last Update Date2014-10-16
Business Address
-- KELLY DETHERAGE
601 W MICHIGAN ST
ORLANDO, FL 32805-6203
Phone number: 407-317-7430
Mailing Address
-- KELLY DETHERAGE
601 W MICHIGAN ST
ORLANDO, FL 32805-6203
Phone number: 407-317-7430
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