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1679004857
KAYLA KELLY
SYRACUSE, NY
NPI
1679004857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 32336)
Enumeration Date
2017-03-21
Last Update Date
2017-03-21
Business Address
-- KAYLA KELLY
319 E WATER ST
SYRACUSE, NY 13202-1123
Phone number: 315-475-1771
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Mailing Address
-- KAYLA KELLY
319 EAST WATER STREET
SYRACUSE, NY 13202
Phone number: 315-475-1771
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