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1720283674
KELLY ELIZABETH RICHARDS
MELBOURNE, FL
NPI
1720283674
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Former Name
KELLY ELIZABETH SWAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW8079)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
Mrs. KELLY ELIZABETH RICHARDS LCSW
21 W FEE AVE SUITE G
MELBOURNE, FL 32901-4402
Phone number: 321-951-3949
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Mailing Address
Mrs. KELLY ELIZABETH RICHARDS LCSW
2 ROSSETTER CIR
INDIALANTIC, FL 32903-4123
Phone number: 321-951-3949
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