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1669688081
JOHN KELLY PITKETHLY
SANFORD, FL
NPI
1669688081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JOHN KELLY PITKETHLY CBHT
919 E 2ND ST
SANFORD, FL 32771-2101
Phone number: 407-323-4445
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Mailing Address
-- JOHN KELLY PITKETHLY CBHT
4258 CLOVERLEAF PL
CASSELBERRY, FL 32707-4703
Phone number: 407-696-7102
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