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1841056801
KELLY PROVIDENT
WEXFORD, PA
NPI
1841056801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC005935)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
KELLY PROVIDENT LPC
52 PINE CREEK RD STE 200
WEXFORD, PA 15090-9366
Phone number: 724-719-7603
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Mailing Address
KELLY PROVIDENT LPC
52 PINE CREEK RD STE 200
WEXFORD, PA 15090-9366
Phone number:
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