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1821305525
KATHLEEN ANN KELLY
BLOOMINGTON, IN
NPI
1821305525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006805A)
Enumeration Date
2010-09-02
Last Update Date
2016-04-04
Business Address
-- KATHLEEN ANN KELLY
517 N WALNUT ST
BLOOMINGTON, IN 47404-3845
Phone number: 812-219-6202
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Mailing Address
-- KATHLEEN ANN KELLY
3042 DOLLSBERRY LN
NASHVILLE, IN 47448-8228
Phone number: 812-219-6206
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