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1588426803
KATIE LINN KELLY BLACK
JACKSON, TN
NPI
1588426803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 6968)
Enumeration Date
2024-01-24
Last Update Date
2024-02-02
Business Address
KATIE LINN KELLY BLACK LPC
650 ASHPORT RD
JACKSON, TN 38305-7327
Phone number: 731-431-5069
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Mailing Address
KATIE LINN KELLY BLACK LPC
650 ASHPORT RD
JACKSON, TN 38305-7327
Phone number: 731-431-5069
Copy
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