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1689248544
TOMMY LEWIS KELLAR
LAKE WORTH, FL
NPI
1689248544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL K460812711650)
Enumeration Date
2021-05-16
Last Update Date
2021-05-16
Business Address
TOMMY LEWIS KELLAR
3871 SUNCREST RD
LAKE WORTH, FL 33467-1541
Phone number: 585-432-4193
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Mailing Address
TOMMY LEWIS KELLAR
3871 SUNCREST RD
LAKE WORTH, FL 33467-1541
Phone number: 585-432-4193
Copy
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