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1780057299
ELLIOTT KETAY
WILMINGTON, DE
NPI
1780057299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101YS0200X Counselor School
(Licence: DE 80482)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
ELLIOTT KETAY M.ED.
218 W PEMBREY DR
WILMINGTON, DE 19803-2008
Phone number: 302-650-1550
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Mailing Address
ELLIOTT KETAY M.ED.
218 W PEMBREY DR
WILMINGTON, DE 19803-2008
Phone number: 302-650-1550
Copy
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