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1659007540
RICHARD LEE KELLY
BALTIMORE, MD
NPI
1659007540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
RICHARD LEE KELLY
3218 NORMOUNT AVE
BALTIMORE, MD 21216-3821
Phone number: 443-414-6873
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Mailing Address
RICHARD LEE KELLY
3218 NORMOUNT AVE
BALTIMORE, MD 21216-3821
Phone number: 443-414-6873
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