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1861156267
LACEY J KELLY
BATON ROUGE, LA
NPI
1861156267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
Mrs. LACEY J KELLY
9247 OLD HERMITAGE PKWY
BATON ROUGE, LA 70810-6812
Phone number: 225-505-7305
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Mailing Address
Mrs. LACEY J KELLY
PO BOX 83302
BATON ROUGE, LA 70884-3302
Phone number: 225-505-7305
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