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1508167578
KELLI BALLARD
TAHLEQUAH, OK
NPI
1508167578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-11-08
Last Update Date
2021-06-25
Business Address
KELLI BALLARD
19600 E ROSS ST
TAHLEQUAH, OK 74464-0545
Phone number: 539-234-1000
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Mailing Address
KELLI BALLARD
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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