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1720794217
KELLY JEAN GANNAWAY
REIDSVILLE, NC
NPI
1720794217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
KELLY JEAN GANNAWAY LCMHCA
229 TURNER DR
REIDSVILLE, NC 27320-5736
Phone number: 336-349-2233
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Mailing Address
KELLY JEAN GANNAWAY LCMHCA
1917 WHEATFIELD CT
GREENSBORO, NC 27405-2883
Phone number:
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