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1588080600
KELLY LUCE ACEVEDO
PEACHTREE CITY, GA
NPI
1588080600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW005370)
Enumeration Date
2014-03-13
Last Update Date
2014-03-13
Business Address
-- KELLY LUCE ACEVEDO
111 PETROL PT SUITE H
PEACHTREE CITY, GA 30269-1550
Phone number: 470-296-1841
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Mailing Address
-- KELLY LUCE ACEVEDO
117 HOLLY SPRINGS DR
PEACHTREE CITY, GA 30269-3045
Phone number: 470-296-1841
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