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1760213391
KENNETH E KELLEY
CLARKSTON, WA
NPI
1760213391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-44165)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
KENNETH E KELLEY LSW
1323 POPLAR ST
CLARKSTON, WA 99403-2345
Phone number: 509-254-7725
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Mailing Address
KENNETH E KELLEY LSW
1323 POPLAR ST
CLARKSTON, WA 99403-2345
Phone number: 509-254-7725
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