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1841964137
SCOTT PATRIK KELLY
SHELTON, WA
NPI
1841964137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
Mr. SCOTT PATRIK KELLY
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-205-8002
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Mailing Address
Mr. SCOTT PATRIK KELLY
1235 SE BELFORD LN
PORT ORCHARD, WA 98366-1265
Phone number: 360-517-0886
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