JASHAWN KELLY

PHILADELPHIA, PA
NPI1669971313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: PA  PC011754)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-02-08
Last Update Date2020-08-03
Business Address
JASHAWN KELLY
1145 ARROTT ST FL 2F
PHILADELPHIA, PA 19124-3167
Phone number: 267-994-2624
Mailing Address
JASHAWN KELLY
1145 ARROTT ST FL 2F
PHILADELPHIA, PA 19124-3167
Phone number: 267-209-0584