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1760896708
STACEY KELLY
HOLLYWOOD, FL
NPI
1760896708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-06-18
Last Update Date
2023-11-13
Business Address
Mrs. STACEY KELLY
7751 HOOD ST 7751 HOOD ST
HOLLYWOOD, FL 33024-2525
Phone number: 754-204-5141
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Mailing Address
Mrs. STACEY KELLY
7751 HOOD ST
HOLLYWOOD, FL 33024-2525
Phone number: 754-204-5141
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