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1669971313
JASHAWN KELLY
PHILADELPHIA, PA
NPI
1669971313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: PA PC011754)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-02-08
Last Update Date
2020-08-03
Business Address
JASHAWN KELLY
1145 ARROTT ST FL 2F
PHILADELPHIA, PA 19124-3167
Phone number: 267-994-2624
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Mailing Address
JASHAWN KELLY
1145 ARROTT ST FL 2F
PHILADELPHIA, PA 19124-3167
Phone number: 267-209-0584
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