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1699447052
KELLY LANE
MENTOR, OH
NPI
1699447052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C2103787)
Enumeration Date
2021-10-04
Last Update Date
2024-08-29
Business Address
KELLY LANE LPC
7232 JUSTIN WAY
MENTOR, OH 44060-4881
Phone number: 440-578-8200
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Mailing Address
KELLY LANE LPC
35888 CENTER RIDGE RD STE 5
NORTH RIDGEVILLE, OH 44039-3086
Phone number: 440-327-1800
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