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1770123812
KELLY WELLS
CANTON, OH
NPI
1770123812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-07
Last Update Date
2020-01-14
Business Address
KELLY WELLS
906 12TH ST NW
CANTON, OH 44703-1902
Phone number: 234-804-3008
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Mailing Address
KELLY WELLS
906 12TH ST NW
CANTON, OH 44703-1902
Phone number: 234-804-3008
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